2003 Louisiana Vital Statistics Report - Louisiana Department of ...
2003 Louisiana Vital Statistics Report - Louisiana Department of ...
2003 Louisiana Vital Statistics Report - Louisiana Department of ...
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<strong>2003</strong> <strong>Louisiana</strong> <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong><br />
<strong>Louisiana</strong> <strong>Department</strong> <strong>of</strong> Health and Hospitals<br />
Office <strong>of</strong> Public Health<br />
State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
<strong>Louisiana</strong> <strong>Department</strong> <strong>of</strong> Health and Hospitals<br />
Office <strong>of</strong> Public Health<br />
Kathleen Babineaux Blanco<br />
Governor<br />
Fredrick P. Cerise, MD, MPH<br />
Secretary, <strong>Department</strong> <strong>of</strong> Health and Hospitals<br />
Roxane Townsend, MD<br />
Deputy Secretary, <strong>Department</strong> <strong>of</strong> Health and Hospitals<br />
Sharon G. Howard, MSW<br />
Assistant Secretary<br />
Darlene W. Smith<br />
Director, State Center for Health <strong>Statistics</strong><br />
State Registrar<br />
A Publication <strong>of</strong>:<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health<br />
State Center for Health <strong>Statistics</strong><br />
1450 L & A Road<br />
Metairie, LA 70001<br />
(504) 219-4515<br />
Editors<br />
Robert Starszak, MS, MPH<br />
Manager, State Center for Health <strong>Statistics</strong><br />
Rafael A. Jarpa, MSc<br />
Public Health Epidemiologist Supervisor<br />
Production Staff: State Center for Health <strong>Statistics</strong><br />
Shamim Akhter, MD, MPH<br />
Suresh N. Belame, MD, MPH
Staff at the State Center for Health <strong>Statistics</strong><br />
Sukhjeet Ahuja, MD, MPH<br />
Shamim Akhter, MD, MPH<br />
Suresh N. Belame, MD, MPH<br />
Joan Borstell, MS<br />
Iqbal Bhuiyan, MD, MPH<br />
Ya-Hui Hsueh, MSPH<br />
Rafael A. Jarpa, MS<br />
Robert Starszak, MS, MPH<br />
Shenkang Yu, MS<br />
JoAnn Medice<br />
Shelia Rolland<br />
All information in this report is available for public use. Any use <strong>of</strong> information in this report for identification<br />
<strong>of</strong> individuals in prohibited and punishable by <strong>Louisiana</strong> law (LSA R.S. 40:32, LSA R.S. 40:61B.3).<br />
When using information extracted from this report, please reference the report with the following citation:<br />
<strong>Louisiana</strong> <strong>Department</strong> <strong>of</strong> Health and Hospitals, Office <strong>of</strong> Public Health, <strong>Louisiana</strong> State Center for Health<br />
<strong>Statistics</strong>, <strong>2003</strong> <strong>Louisiana</strong> <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong>.<br />
Website: http://www.dhh.louisiana.gov/<strong>of</strong>fices/page.asp?id=275&detail=6624
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INTRODUCTION<br />
INTRODUCTION<br />
The mission <strong>of</strong> the State Center for Health <strong>Statistics</strong> (CHS) within the <strong>Louisiana</strong> <strong>Department</strong> <strong>of</strong> Health & Hospitals, Office <strong>of</strong><br />
Public Health is to collect and distribute accurate, comprehensible information vital to informed decision making on matters<br />
concerning individual and community health. The goal <strong>of</strong> the <strong>2003</strong> <strong>Louisiana</strong> <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> is to present and explain the<br />
health surveillance data collected on the state’s vital event certificates. CHS welcomes your feedback on the usefulness and<br />
clarity <strong>of</strong> this report.<br />
The <strong>2003</strong> <strong>Louisiana</strong> <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> describes health status data collected on <strong>Louisiana</strong>’s vital event certificates <strong>of</strong> Live<br />
Birth, Spontaneous Fetal Death (stillbirth), Induced Termination <strong>of</strong> Pregnancy (induced abortion), Death, Marriage, and Divorce.<br />
Data collected on these certificates are used to describe trends and current status in infant and maternal health and in the<br />
causes <strong>of</strong> death most prevalent in race, sex, and age groups. This basic surveillance <strong>of</strong> vital events is essential in identifying<br />
individual and community health concerns and in targeting and evaluating health education and service efforts.<br />
This year’s report contains eight chapters that describe vital event data and one chapter that presents supplemental information.<br />
The eight data chapters are “Summary <strong>of</strong> <strong>Vital</strong> Events”, “Population”, “Live Births”, “Spontaneous Fetal Deaths”, “Induced<br />
Terminations <strong>of</strong> Pregnancy”, “Deaths”, “Infant Mortality and Maternal Mortality”, and “Marriage and Divorce”. Each <strong>of</strong> these<br />
chapters contains text, tables, and charts describing state-level data.<br />
The eight data chapters are followed by an ancillary chapter entitled “Technical Notes”, which identifies data sources, describes<br />
data processing methods and assumptions, and provides a glossary <strong>of</strong> technical terms. A final section presents samples <strong>of</strong><br />
various Certificates on which vital events are recorded for the State <strong>of</strong> <strong>Louisiana</strong>.<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page i
INTRODUCTION <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
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Page ii <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
2002 LOUISIANA VITAL STATISTICS REPORT FIGURES<br />
CONTENTS<br />
Introduction ..................................................................................................................................................................i<br />
Contents.....................................................................................................................................................................iii<br />
Tables ........................................................................................................................................................................vi<br />
Figures ..................................................................................................................................................................... viii<br />
Map <strong>of</strong> <strong>Louisiana</strong>........................................................................................................................................................ix<br />
SUMMARY OF VITAL EVENTS................................................................................................................................ 1<br />
<strong>Louisiana</strong> and the United States in <strong>2003</strong> ........................................................................................................... 3<br />
Summary <strong>of</strong> <strong>Vital</strong> Events in <strong>2003</strong>....................................................................................................................... 4<br />
Population Summary.................................................................................................................................. 4<br />
Live Birth Summary.................................................................................................................................... 4<br />
Spontaneous Fetal Death Summary.......................................................................................................... 5<br />
<strong>Report</strong>ed Induced Termination <strong>of</strong> Pregnancy Summary............................................................................ 5<br />
Death Summary ......................................................................................................................................... 5<br />
Infant Mortality Summary ........................................................................................................................... 6<br />
Maternal Mortality Summary ...................................................................................................................... 6<br />
Marriage and Divorce Summary ................................................................................................................ 6<br />
POPULATION............................................................................................................................................................ 7<br />
Use <strong>of</strong> Population Data in <strong>Vital</strong> Event Surveillance .................................................................................... 9<br />
Source <strong>of</strong> Data: Bridged-race population estimate, <strong>2003</strong>.......................................................................... 9<br />
Population Estimates ......................................................................................................................................... 9<br />
LIVE BIRTHS: ........................................................................................................................................................ 13<br />
Introduction............................................................................................................................................... 15<br />
Birth Counts and Rates.................................................................................................................................... 16<br />
Number <strong>of</strong> Births ...................................................................................................................................... 16<br />
Crude Birth Rate....................................................................................................................................... 16<br />
Fertility Rates ........................................................................................................................................... 17<br />
Maternal Pr<strong>of</strong>ile ................................................................................................................................................ 18<br />
Age <strong>of</strong> Mother........................................................................................................................................... 18<br />
Birth Order................................................................................................................................................ 19<br />
Race <strong>of</strong> Mother......................................................................................................................................... 20<br />
Teen and Pre-Teen Births........................................................................................................................ 20<br />
Education ................................................................................................................................................. 22<br />
Marital Status ........................................................................................................................................... 22<br />
Prenatal Care ........................................................................................................................................... 23<br />
Medical Risk Factors for Complications <strong>of</strong> Pregnancy............................................................................. 25<br />
Tobacco and Alcohol Use during Pregnancy........................................................................................... 27<br />
Newborn Pr<strong>of</strong>ile................................................................................................................................................ 28<br />
Gender...................................................................................................................................................... 28<br />
Birthweight................................................................................................................................................ 29<br />
Gestational Age........................................................................................................................................ 31<br />
Multiple Births........................................................................................................................................... 32<br />
Apgar Score ............................................................................................................................................. 32<br />
Congenital Anomalies .............................................................................................................................. 32<br />
Delivery Characteristics: Medical Procedures, Complications, and Facilities ................................................ 34<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page iii
FIGURES 2002 LOUISIANA VITAL STATISTICS REPORT<br />
Obstetric Procedures................................................................................................................................ 34<br />
Complications <strong>of</strong> Labor and/or Delivery ................................................................................................... 35<br />
Method <strong>of</strong> Delivery ................................................................................................................................... 38<br />
References....................................................................................................................................................... 40<br />
SPONTANEOUS FETAL DEATHS: State Summary ............................................................................................ 41<br />
Introduction ...................................................................................................................................................... 43<br />
Fetal Death Counts and Rates......................................................................................................................... 44<br />
Maternal Pr<strong>of</strong>ile ................................................................................................................................................ 45<br />
Race and Age .......................................................................................................................................... 45<br />
Prenatal Care........................................................................................................................................... 47<br />
Medical Risk Factors for Complications <strong>of</strong> Pregnancy............................................................................ 47<br />
Tobacco and Alcohol Use During Pregnancy.......................................................................................... 48<br />
Cause <strong>of</strong> Death ................................................................................................................................................ 48<br />
References....................................................................................................................................................... 53<br />
INDUCED TERMINATION OF PREGNANCY: State Summary............................................................................ 55<br />
Introduction ...................................................................................................................................................... 57<br />
Induced Termination Counts............................................................................................................................ 57<br />
DEATHS: State Summary...................................................................................................................................... 61<br />
Introduction ...................................................................................................................................................... 63<br />
Number and Rates <strong>of</strong> Death ............................................................................................................................ 64<br />
Crude Death Rate.................................................................................................................................... 64<br />
Age-Adjusted Death Rate........................................................................................................................ 65<br />
Leading Causes <strong>of</strong> Death................................................................................................................................. 65<br />
<strong>Louisiana</strong> and United States Death Rates....................................................................................................... 65<br />
1994-<strong>2003</strong> <strong>Louisiana</strong> Death Rates .................................................................................................................. 67<br />
Deaths by Demographic Group ....................................................................................................................... 69<br />
Mortality by Gender ................................................................................................................................. 69<br />
Mortality by Race..................................................................................................................................... 71<br />
Mortality by Gender and Race................................................................................................................. 73<br />
Mortality by Age ....................................................................................................................................... 74<br />
Mortality by Age and Gender................................................................................................................... 75<br />
Mortality by Age and Race ...................................................................................................................... 76<br />
Mortality by Age, Gender, and Race ....................................................................................................... 78<br />
Mortality by Selected Causes <strong>of</strong> Death: Crude and Age-Adjusted Rates .............................................. 79<br />
INFANT AND MATERNAL MORTALITY: State Summary ................................................................................. 105<br />
Introduction .................................................................................................................................................... 107<br />
Maternal Mortality Counts and Rates ............................................................................................................ 108<br />
Infant Mortality Counts and Rates.................................................................................................................. 109<br />
Infant Mortality by Infant Race............................................................................................................... 110<br />
Infant Mortality by Infant Gender and Race........................................................................................... 112<br />
Causes <strong>of</strong> Infant Death .................................................................................................................................. 112<br />
Leading Causes <strong>of</strong> Infant Death ............................................................................................................ 112<br />
Leading Causes <strong>of</strong> Infant Death by Race and Infant Gender ............................................................... 115<br />
Infant Mortality by Selected Causes <strong>of</strong> Infant Death ............................................................................. 115<br />
MARRIAGE AND DIVORCE: State Summary..................................................................................................... 137<br />
Introduction .................................................................................................................................................... 139<br />
Marriage ......................................................................................................................................................... 140<br />
Counts and Rates................................................................................................................................... 140<br />
Age <strong>of</strong> Bride and Groom......................................................................................................................... 141<br />
Prior Marital Status................................................................................................................................. 142<br />
Race <strong>of</strong> Bride and Groom....................................................................................................................... 144<br />
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Page iv <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
2002 LOUISIANA VITAL STATISTICS REPORT FIGURES<br />
Month <strong>of</strong> Marriage .................................................................................................................................. 144<br />
Divorce ........................................................................................................................................................... 145<br />
Rates by Parish <strong>of</strong> Occurrence .............................................................................................................. 145<br />
TECHNICAL NOTES............................................................................................................................................. 147<br />
Data Sources, Completeness, and Imputations............................................................................................. 149<br />
Sources <strong>of</strong> Data ..................................................................................................................................... 149<br />
Completeness <strong>of</strong> Data ........................................................................................................................... 149<br />
Missing Data .......................................................................................................................................... 150<br />
Place <strong>of</strong> Residence vs. Place <strong>of</strong> Occurrence ........................................................................................ 150<br />
Cities Located in Two Parishes ............................................................................................................. 150<br />
Comparability <strong>of</strong> National and State Data ............................................................................................. 150<br />
Parish and Region Tables.............................................................................................................................. 151<br />
Parish Tables......................................................................................................................................... 151<br />
Region Tables........................................................................................................................................ 151<br />
Population Data.............................................................................................................................................. 152<br />
Birth Data ....................................................................................................................................................... 153<br />
Race ...................................................................................................................................................... 153<br />
Place <strong>of</strong> Residence................................................................................................................................ 153<br />
Adequate Prenatal Care ........................................................................................................................ 153<br />
Weight Equivalents................................................................................................................................ 153<br />
Gestational Age ..................................................................................................................................... 154<br />
Birthweight ............................................................................................................................................. 154<br />
Number <strong>of</strong> Prenatal Visits...................................................................................................................... 154<br />
Birth Rates for Mothers Under Age 15 Years and Over Age 45 Years................................................. 154<br />
Spontaneous Fetal Death Data (Stillbirth) ...................................................................................................... 155<br />
Definition <strong>of</strong> a Spontaneous Fetal Death............................................................................................... 155<br />
Estimation <strong>of</strong> Gestational Age ............................................................................................................... 155<br />
Cause <strong>of</strong> Death Coding ......................................................................................................................... 155<br />
Death Data ..................................................................................................................................................... 158<br />
Place <strong>of</strong> Residence................................................................................................................................ 158<br />
Cause <strong>of</strong> Death Coding ......................................................................................................................... 158<br />
Definitions....................................................................................................................................................... 164<br />
Calculation <strong>of</strong> Rates and Ratios..................................................................................................................... 171<br />
CERTIFICATE FACSIMILES ................................................................................................................................ 173<br />
TABLES<br />
POPULATION<br />
1.1 Population, <strong>Louisiana</strong>, 1945-<strong>2003</strong> .............................................................................................................. 10<br />
1.2 Population by Gender, Race, and Age Group, <strong>Louisiana</strong>, <strong>2003</strong>................................................................. 10<br />
1.3 Percent <strong>of</strong> Total Population by Gender and Age Group, <strong>Louisiana</strong> and United States, <strong>2003</strong>.................... 11<br />
1.4 Percent <strong>of</strong> Total Population by Race and Gender, <strong>Louisiana</strong> and United States, <strong>2003</strong>............................. 11<br />
1.5 Percent Distribution by Race and Gender, within Age Group, <strong>Louisiana</strong>, <strong>2003</strong>......................................... 12<br />
1.6 Population Counts by Parish, <strong>Louisiana</strong>, <strong>2003</strong> ........................................................................................... 13<br />
LIVE BIRTHS<br />
Live Births: State Summary<br />
2.1 Number <strong>of</strong> Live Births, Crude Birth Rates, and Percent Changes, <strong>Louisiana</strong> and United States,<br />
1984-<strong>2003</strong>................................................................................................................................................... 17<br />
2.2 Crude Birth Rates, Fertility Rates, and Age-Specific Birth Rates, <strong>Louisiana</strong>, 1984-<strong>2003</strong> .......................... 18<br />
2.3 First Birth Rates by Maternal Age, <strong>Louisiana</strong> and United States, 1994-<strong>2003</strong> ............................................ 18<br />
2.4 Number <strong>of</strong> Live Births by Birth Order, Age and Race <strong>of</strong> Mother, <strong>Louisiana</strong>, <strong>2003</strong> ..................................... 19<br />
2.5 Number <strong>of</strong> Live Births by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong>.......................................................... 20<br />
2.6 Crude Birth Rates, Fertility Rates, and Age-Specific Birth Rates by Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong> ...... 23<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page v
FIGURES 2002 LOUISIANA VITAL STATISTICS REPORT<br />
2.7 Teenage Birth Rates by Maternal Age, <strong>Louisiana</strong> and United States, 1994-<strong>2003</strong> ..................................... 21<br />
2.8 Teens and Pre-Teens: Age-Specific Birth Rates by Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong>............................... 21<br />
2.9 Teens and Pre-Teens: Number and Percents <strong>of</strong> Live Births to Mothers Entering Prenatal Care in the<br />
First Trimester, by Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong>................................................................................... 21<br />
2.10 Teens and Pre-Teens: Number and Percent <strong>of</strong> Live Births under 2500 Grams by Maternal Race<br />
and Age, <strong>Louisiana</strong>, <strong>2003</strong> .......................................................................................................................... 22<br />
2.11 Number and Percent <strong>of</strong> Live Births by Maternal Education and Race, <strong>Louisiana</strong>, <strong>2003</strong>............................ 22<br />
2.12 Percent <strong>of</strong> Live Births to Unmarried Mothers by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong> ...................... 23<br />
2.13 Percent <strong>of</strong> Live Births to Unmarried Mothers by Maternal Age, <strong>Louisiana</strong> and United States,<br />
1999-<strong>2003</strong>.................................................................................................................................................. 23<br />
2.14 Percent <strong>of</strong> Live Births to Women Entering Prenatal Care in the 1 st Trimester <strong>of</strong> Pregnancy by Maternal<br />
Race, <strong>Louisiana</strong> and United States, <strong>2003</strong> .................................................................................................. 23<br />
2.15 Percent <strong>of</strong> Live Births to Women Delivering Live Births Receiving Adequate Prenatal Care,<br />
by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong>........................................................................................... 23<br />
2.16 Percents <strong>of</strong> Live Births to Women Entering Prenatal Care in the First Trimester <strong>of</strong> Pregnancy,<br />
<strong>Louisiana</strong> and United States. Selected years 1994-<strong>2003</strong>......................................................................... 24<br />
2.17 Percents <strong>of</strong> Live Births by Initiation <strong>of</strong> Prenatal Care, Maternal Age, and Maternal Race<br />
<strong>Louisiana</strong>, <strong>2003</strong>......................................................................................................................................... 24<br />
2.18 Rates <strong>of</strong> Selected Medical Risk Factors for Complications <strong>of</strong> Pregnancy by Maternal Race<br />
and Age, <strong>Louisiana</strong>, <strong>2003</strong> .......................................................................................................................... 25<br />
2.19 Counts <strong>of</strong> Medical Risk Factors for Complications <strong>of</strong> Pregnancy by Maternal Age and Race,<br />
<strong>Louisiana</strong>, <strong>2003</strong>.......................................................................................................................................... 25<br />
2.20 Use <strong>of</strong> Tobacco and Alcohol during Pregnancy by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong> .................. 27<br />
2.21 Counts <strong>of</strong> Live Births by Infant Sex and Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong> ................................................. 28<br />
2.22 Percent <strong>of</strong> Live Births Less than 2500 Grams, <strong>Louisiana</strong> and United States, 1994-<strong>2003</strong>.......................... 28<br />
2.23 Percent <strong>of</strong> Live Births Less than 2500 Grams by Maternal Race,<br />
<strong>Louisiana</strong> and United States, <strong>2003</strong>............................................................................................................ 29<br />
2.24 Percent <strong>of</strong> Live Births Less than 2500 Grams by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong>..................... 29<br />
2.25 Percent <strong>of</strong> Live Births Less than 1500 Grams by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong>..................... 30<br />
2.26 Number <strong>of</strong> Live Births by Live Birth Order and Birthweight, <strong>Louisiana</strong>, <strong>2003</strong>............................................. 30<br />
2.27 Number and Percent <strong>of</strong> Live Births by Infant Birthweight, Infant Sex, and Maternal Race,<br />
<strong>Louisiana</strong>, <strong>2003</strong>.......................................................................................................................................... 30<br />
2.28 Number <strong>of</strong> Live Births by Birthweight, Maternal Age and Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong>....................... 31<br />
2.29 Number and Percent <strong>of</strong> Pre-Term Live Births (Less Than 37 Weeks), by Maternal Age and Race,<br />
<strong>Louisiana</strong>, <strong>2003</strong>.......................................................................................................................................... 30<br />
2.30Number and Percent <strong>of</strong> Births with Below Normal Five Minute Apgar Scores by Maternal Race,<br />
<strong>Louisiana</strong>, <strong>2003</strong>.......................................................................................................................................... 30<br />
2.31 Number and Percent <strong>of</strong> Births with Below Normal Five Minute Apgar Scores by Maternal Age,<br />
<strong>Louisiana</strong>, <strong>2003</strong>......................................................................................................................................... 30<br />
2.32 Counts <strong>of</strong> Abnormal Conditions <strong>of</strong> the Newborn by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong> ................. 33<br />
2.33 Counts <strong>of</strong> Congenital Anomalies by Type <strong>of</strong> Anomaly and Maternal Age, <strong>Louisiana</strong>, <strong>2003</strong> ...................... 34<br />
2.34 Number and Rates <strong>of</strong> Obstetric Procedures by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong> ....................... 34<br />
2.35 Number <strong>of</strong> Obstetric Procedures by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong>......................................... 35<br />
2.36 Number and Rates <strong>of</strong> Complications <strong>of</strong> Labor and/or Delivery by Maternal Race and Age<br />
<strong>Louisiana</strong>, <strong>2003</strong>.......................................................................................................................................... 36<br />
2.37 Counts <strong>of</strong> Complications <strong>of</strong> Labor and/or Delivery by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong>.............. 36<br />
2.38 Percent <strong>of</strong> Live Births by Cesarean Delivery by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong>....................... 38<br />
2.39 Number <strong>of</strong> Deliveries by Method <strong>of</strong> Delivery, Maternal Age, and Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong>........... 39<br />
SPONTANEOUS FETAL DEATHS<br />
Spontaneous Fetal Deaths: State Summary<br />
3.1 Number and Rates <strong>of</strong> Fetal Deaths, <strong>Louisiana</strong>, 1994-<strong>2003</strong> ......................................................................... 44<br />
3.2 Fetal Mortality Rates, <strong>Louisiana</strong> and United States, 1994-<strong>2003</strong> .................................................................. 45<br />
3.3 Fetal Mortality Rates by Maternal Race, <strong>Louisiana</strong>, 1994-<strong>2003</strong>................................................................... 46<br />
3.4 Fetal Mortality Rates by Maternal Race, <strong>Louisiana</strong> and United States, 1994-<strong>2003</strong>..................................... 46<br />
3.5 Fetal Mortality Rates by Maternal Race and Age, <strong>Louisiana</strong>, <strong>2003</strong> ............................................................. 47<br />
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Page vi <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
2002 LOUISIANA VITAL STATISTICS REPORT FIGURES<br />
3.6 Number and Rates <strong>of</strong> Fetal Deaths by Prenatal Care Status and Race, <strong>Louisiana</strong>, <strong>2003</strong>........................... 47<br />
3.7 Number <strong>of</strong> Fetal Deaths by Medical Risk Factors for Complications <strong>of</strong> Pregnancy and Maternal Race,<br />
<strong>Louisiana</strong>, <strong>2003</strong>........................................................................................................................................ 48<br />
3.8 Number and Ratio <strong>of</strong> <strong>Report</strong>ed Fetal Deaths by Selected Causes <strong>of</strong> Death, Maternal Age and Race,<br />
<strong>Louisiana</strong>, <strong>2003</strong> ....................................................................................................................................... 49<br />
INDUCED TERMINATIONS OF PREGNANCY<br />
Induced Terminations <strong>of</strong> Pregnancy: State Summary<br />
4.1 Counts <strong>of</strong> Induced Terminations <strong>of</strong> Pregnancy by Age Group,<br />
<strong>Report</strong>ed Occurrences in <strong>Louisiana</strong>, 1994-<strong>2003</strong> ..................................................................................... 57<br />
4.2 Induced Terminations <strong>of</strong> Pregnancy by Weeks <strong>of</strong> Gestation and Type <strong>of</strong> Procedure,<br />
<strong>Report</strong>ed Occurrences in <strong>Louisiana</strong>, <strong>2003</strong> .............................................................................................. 58<br />
4.3 Number <strong>of</strong> Induced Terminations <strong>of</strong> Pregnancy by Weeks <strong>of</strong> Gestation, Age, Race, and<br />
Marital Status, <strong>Report</strong>ed Occurrences in <strong>Louisiana</strong>, <strong>2003</strong> ...................................................................... 59<br />
DEATHS<br />
Deaths: State Summary<br />
5.1 Number and Rates <strong>of</strong> Deaths, <strong>Louisiana</strong> and United States, 1983-<strong>2003</strong>.................................................... 65<br />
5.2 Rankings, Counts, and Rates for the Ten Leading Causes <strong>of</strong> Death, <strong>Louisiana</strong> and<br />
United States, <strong>2003</strong> ................................................................................................................................. 66<br />
5.3 Crude Death Rates for Selected Leading Causes <strong>of</strong> Death, <strong>Louisiana</strong>, 1992-<strong>2003</strong> ................................... 69<br />
5.4 Rankings, Numbers, and Rates for the Leading Causes <strong>of</strong> Death by Gender, <strong>Louisiana</strong>, <strong>2003</strong>................. 70<br />
5.5 Rankings, Number, and Rates for the Leading Causes <strong>of</strong> Death by Race, <strong>Louisiana</strong>, <strong>2003</strong>...................... 72<br />
5.6 Age-Adjusted Death Rates for the Five Leading Causes <strong>of</strong> Death by Gender and Race,<br />
<strong>Louisiana</strong>, <strong>2003</strong> ....................................................................................................................................... 74<br />
5.7 Rankings and Counts for the Five Leading Causes <strong>of</strong> Death by Age Group, <strong>Louisiana</strong>, <strong>2003</strong>................... 75<br />
5.8 Death Counts and Rates by Age Group and Gender, <strong>Louisiana</strong>, <strong>2003</strong>....................................................... 76<br />
5.9 Death Counts and Rates by Age Group and Race, <strong>Louisiana</strong>, <strong>2003</strong> .......................................................... 78<br />
5.10 Death Counts and Rates by Age Group, Gender, and Race, <strong>Louisiana</strong>, <strong>2003</strong> ........................................... 79<br />
5.11 Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Gender, Race, and Age,<br />
<strong>Louisiana</strong> Residents, <strong>2003</strong> ...................................................................................................................... 80<br />
INFANT AND MATERNAL MORTALITY<br />
Infant and Maternal Mortality: State Summary<br />
6.1 Number and Rates <strong>of</strong> Maternal Deaths by Race and Age, <strong>Louisiana</strong>, 1994-<strong>2003</strong> ................................... 108<br />
6.2 Maternal Deaths by Place <strong>of</strong> Occurrence, Reallocated to Mothers Usual Residence<br />
and Shown by Age and Race <strong>of</strong> Mother, <strong>Louisiana</strong>, <strong>2003</strong> ................................................................. 108<br />
6.3 Number <strong>of</strong> Infant Deaths and Infant Mortality Rates, <strong>Louisiana</strong> and United States, 1984-<strong>2003</strong> .............. 110<br />
6.4 Infant Mortality Rates by Age at Death and Infant Race, <strong>Louisiana</strong>, <strong>2003</strong>………………………………… 110<br />
6.5 Infant Mortality Rates, Neonatal Mortality Rates, and Postneonatal Mortality Rates<br />
<strong>Louisiana</strong> and United States, 1983-<strong>2003</strong> ............................................................................................. 111<br />
6.6 Infant Mortality Rates by Infant Gender and Race, <strong>Louisiana</strong>, 1993-<strong>2003</strong>................................................ 112<br />
6.7 Number <strong>of</strong> Deaths for Leading Causes <strong>of</strong> Infant Deaths by Age at Death, <strong>Louisiana</strong>, <strong>2003</strong> .................... 113<br />
6.8 Crude Death Rates for Leading Causes <strong>of</strong> Infant Death, <strong>Louisiana</strong>, 1992-<strong>2003</strong> ...................................... 114<br />
6.9 Infant Death (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes, Gender, Race, and Age,<br />
<strong>Louisiana</strong>, <strong>2003</strong> .................................................................................................................................... 115<br />
MARRIAGE AND DIVORCE<br />
Marriage and Divorce: State Summary<br />
7.1 Numbers <strong>of</strong> Marriages by Parish, <strong>Louisiana</strong>, <strong>2003</strong>.................................................................................... 140<br />
7.2 Marriages in <strong>Louisiana</strong> and United States, 1990-<strong>2003</strong>.............................................................................. 141<br />
7.3 Number <strong>of</strong> Marriages by Age <strong>of</strong> Groom and Age <strong>of</strong> Bride, <strong>Louisiana</strong>, <strong>2003</strong> ............................................. 141<br />
7.4 Average and Median Ages <strong>of</strong> Brides and Grooms, <strong>Louisiana</strong>, 1993-<strong>2003</strong> ............................................... 142<br />
7.5 Marriage Rates by Gender and Age, Selected Years, <strong>Louisiana</strong>, 1991-<strong>2003</strong>........................................... 142<br />
7.6 Number <strong>of</strong> Marriages by Previous Marital Status <strong>of</strong> Bride and Groom, <strong>Louisiana</strong>, <strong>2003</strong>.......................... 143<br />
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FIGURES 2002 LOUISIANA VITAL STATISTICS REPORT<br />
7.7 Percents <strong>of</strong> Marriages by Previous Marital Status, Selected Years, <strong>Louisiana</strong>, 1991-<strong>2003</strong> ..................... 143<br />
7.8 Average and Median Age <strong>of</strong> Bride and Groom at this Marriage by Previous Marital Status,<br />
<strong>Louisiana</strong>, <strong>2003</strong> .................................................................................................................................. 143<br />
7.9 Number <strong>of</strong> Marriages by Race <strong>of</strong> Groom and Race <strong>of</strong> Bride, <strong>Louisiana</strong>, <strong>2003</strong> ......................................... 144<br />
7.10 Number and Percent <strong>of</strong> Marriages by Month <strong>of</strong> Occurrence, <strong>Louisiana</strong>, <strong>2003</strong> ......................................... 144<br />
7.11 Divorce Rates by Parish <strong>of</strong> Occurrence, <strong>Louisiana</strong>, 1998-<strong>2003</strong>................................................................ 145<br />
FIGURES<br />
LIVE BIRTHS<br />
2.1 Number <strong>of</strong> Live Births and Crude Birth Rates, <strong>Louisiana</strong>, 1957-<strong>2003</strong> ......................................................... 16<br />
2.2 Crude Birth Rates, <strong>Louisiana</strong> and United States, 1957-<strong>2003</strong> ...................................................................... 16<br />
2.3 Percent <strong>of</strong> Live Births Less than 2500 Grams by Trimester <strong>of</strong> Entry into Prenatal Care,<br />
<strong>Louisiana</strong>, 2001......................................................................................................................................... 29<br />
SPONTANEOUS FETAL DEATHS<br />
3.1 Fetal Death Counts and Mortality Rates, <strong>Louisiana</strong>, 1992-<strong>2003</strong>............................................................... 44<br />
INDUCED TERMINATIONS OF PREGNANCY<br />
4.1. Percents <strong>of</strong> Induced Terminations <strong>of</strong> Pregnancy by Single Weeks <strong>of</strong> Gestation at the Time <strong>of</strong> the<br />
Termination, <strong>Report</strong>ed Occurrences in <strong>Louisiana</strong>, <strong>2003</strong> ............................................................................. 58<br />
DEATHS<br />
5.1 Death Counts and Crude Death Rates, <strong>Louisiana</strong>, 1982-<strong>2003</strong> .................................................................... 64<br />
5.2 Crude Death Rates, <strong>Louisiana</strong> and United States, 1982-<strong>2003</strong>..................................................................... 64<br />
5.3 Percents <strong>of</strong> Deaths from the Five Leading Causes <strong>of</strong> Death, <strong>Louisiana</strong>, <strong>2003</strong>............................................ 66<br />
5.4 Age-Adjusted Death Rates for the Ten Leading Causes <strong>of</strong> Death,<br />
<strong>Louisiana</strong> and United States, <strong>2003</strong>............................................................................................................. 67<br />
5.5 Crude Death Rates for Heart Disease and Cancer, <strong>Louisiana</strong>, 1992-<strong>2003</strong>.................................................. 67<br />
5.6 Crude Death Rates for Cerebrovascular Diseases and Accidents, 1992-<strong>2003</strong> ........................................... 68<br />
5.7 Crude Death Rate for Diabetes, <strong>Louisiana</strong>, 1992-<strong>2003</strong>................................................................................ 68<br />
5.8 Crude Death Rates by Gender, <strong>Louisiana</strong>, 1982-<strong>2003</strong>................................................................................. 69<br />
5.9 Crude Death Rates for the Leading Causes <strong>of</strong> Death by Gender, <strong>Louisiana</strong>, <strong>2003</strong>..................................... 71<br />
5.10 Crude Death Rates by Race, <strong>Louisiana</strong>, 1992-<strong>2003</strong> ................................................................................... 71<br />
5.11 Crude Death Rates for the Leading Causes <strong>of</strong> Death by Race, <strong>Louisiana</strong>, <strong>2003</strong>....................................... 73<br />
5.12 Age-Adjusted Death Rates for Selected Leading Causes <strong>of</strong> Death by Race-Gender,<br />
<strong>Louisiana</strong> <strong>2003</strong> ........................................................................................................................................... 74<br />
5.13. Death Rates by Age Group 1-54 and Gender, <strong>Louisiana</strong>, <strong>2003</strong> ................................................................. 75<br />
5.14. Death Rates by Age Group 55 and over, and Gender, <strong>Louisiana</strong>, <strong>2003</strong>..................................................... 76<br />
5.15. Death Rates by Age Group 1-54 and Race, <strong>Louisiana</strong>, <strong>2003</strong> ..................................................................... 77<br />
5.16. Death Rates by Age Group 55 and over, and Race, <strong>Louisiana</strong>, <strong>2003</strong> ........................................................ 77<br />
INFANT AND MATERNAL MORTALITY<br />
Infant and Maternal Mortality: State Summary<br />
6.1 Infant Death Counts and Infant Mortality Rates, <strong>Louisiana</strong>, 1952-200......................................................... 109<br />
6.2 Infant Mortality Rates, <strong>Louisiana</strong> and United States, 1952-<strong>2003</strong> ................................................................. 109<br />
6.3 Infant Mortality Rates by Race, <strong>Louisiana</strong> and United States, 1982-<strong>2003</strong>................................................... 111<br />
6.4 Infant Mortality Rates by Infant Gender and Race, <strong>Louisiana</strong>, 1992-<strong>2003</strong> .................................................. 112<br />
6.5 Rates for Selected Leading Causes <strong>of</strong> Infant Death, <strong>Louisiana</strong>, 19921-<strong>2003</strong> ............................................. 113<br />
6.6 Rates for Selected Leading Causes <strong>of</strong> Infant Death, <strong>Louisiana</strong>, 1992-<strong>2003</strong>................................................ 114<br />
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2002 LOUISIANA VITAL STATISTICS MAP OF LOUISIANA<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT SUMMARY<br />
SUMMARY OF<br />
VITAL EVENTS<br />
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SUMMARY <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
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Page 2 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT SUMMARY<br />
OLDEST, YOUNGEST, ETC… IN <strong>2003</strong><br />
Oldest Bride: 92 years Youngest Bride: 12 years<br />
Oldest Groom: 98 years Youngest Groom: 15 years<br />
Oldest Mother: 64 years Highest Birth Order: 21<br />
Oldest Father: 76 years Largest Live Birth: 7110 grams<br />
Oldest Female Decedent: 113 years<br />
Oldest Male Decedent: 110 years<br />
EACH DAY IN LOUISIANA IN <strong>2003</strong>* THERE WERE ON AVERAGE:<br />
177 Live Births 116 Deaths 1 Fetal Death<br />
26 to teens aged 15 -19 31 from heart disease 2 Infant Deaths<br />
84 to unmarried mothers 26 from cancer 29 Induced Terminations <strong>of</strong> Pregnancy<br />
19 low weight births 7 from cerebrovascular disease 102 Marriages<br />
54 cesarean sections 6 from unintentional injuries<br />
5 from diabetes mellitus<br />
3 from motor vehicle injuries<br />
2 from homicide<br />
* Note that numbers are approximate averages, derived by dividing total numbers <strong>of</strong> each event by 365 (days in a standard year).<br />
Since all results are rounded down to the closest whole number, calculation <strong>of</strong> total events from these numbers may underestimate the true total.<br />
LOUISIANA AND THE UNITED STATES IN <strong>2003</strong><br />
<strong>Vital</strong> Event <strong>Louisiana</strong> U.S.*<br />
Live Births<br />
Birth Rate per 1,000 population 14.4 14.1<br />
Teen Birth Rate per 1,000 women aged 15 through 19 55.6 41.6<br />
Percent <strong>of</strong> total births to Unmarried Women 47.5 % 34.6 %<br />
Percent <strong>of</strong> total births with 1 st Trimester Entry into Prenatal Care 84.1 % 84.1 %<br />
Percent <strong>of</strong> total births that were Low Weight (
SUMMARY <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
SUMMARY OF VITAL EVENTS IN <strong>2003</strong><br />
POPULATION<br />
State population 1 : 4,496,334<br />
<strong>Louisiana</strong> has the 24 th largest population among the fifty states. 2<br />
Percent <strong>of</strong> population in race group: 64.7% white, 33.2% black, 2.2% other race.<br />
The national breakdown by race is 81.3% white, 13.1% black, and 5.6% other race. 3<br />
LIVE BIRTH<br />
Number <strong>of</strong> births: 64,689<br />
In <strong>2003</strong> the total number <strong>of</strong> births was 64,689 and 64,755 in 2002.<br />
Birth Rate: 14.4 live births per 1,000 population<br />
This is the lowest state birth rate in more than half a century.<br />
Fertility Rate: 65.8 live births per 1,000 women aged 15-44 years<br />
Following a high fertility rate <strong>of</strong> 80.7 in 1982, <strong>Louisiana</strong>'s fertility rate declined steadily to 64.9 in 1996. Since 1996 the state's<br />
fertility rate has remained relatively stable around 66.1.<br />
Number <strong>of</strong> births to teens aged 15-19 years: 9,452<br />
In <strong>Louisiana</strong>, 14.6 % <strong>of</strong> the total live births were from mothers 15-19 years old.<br />
Birth Rate in teens aged 15-19 years: 55.6 live births per 1,000 women aged 15-19<br />
In <strong>Louisiana</strong>, the teen birth rate went slightly down compared to 57.8 in 2002.<br />
Percent <strong>of</strong> births to unmarried mothers: 47.5% <strong>of</strong> total live births<br />
This is a slight increase from the 2002 figure <strong>of</strong> 47.0%.<br />
Percent <strong>of</strong> live births receiving prenatal care in the first trimester: 84.1% <strong>of</strong> total live births<br />
The percent <strong>of</strong> live births receiving prenatal care in the first trimester has increased steadily during the 1990s.<br />
Percent <strong>of</strong> live births less than 2500 grams: 10.7% <strong>of</strong> total live births<br />
In recent years, <strong>Louisiana</strong> has seen a steady rise in the percentage <strong>of</strong> low birth weight babies, from 9.4% <strong>of</strong> total births in 1992.<br />
Percent <strong>of</strong> live births delivered by cesarean section: 31.7% <strong>of</strong> total live births<br />
Of all live births in <strong>Louisiana</strong> in <strong>2003</strong>, 31.7% were primary or repeat cesarean deliveries.<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT SUMMARY<br />
SPONTANEOUS FETAL DEATH<br />
(State criteria: 20+ weeks gestation or 350+ grams weight)<br />
Number <strong>of</strong> fetal deaths: 514<br />
In comparison, there were 512 fetal deaths in <strong>Louisiana</strong> in 2002.<br />
Fetal Mortality Rate 3 : 7.9 in <strong>2003</strong>.<br />
REPORTED INDUCED TERMINATION OF PREGNANCY<br />
Number <strong>of</strong> reported induced terminations performed in <strong>Louisiana</strong>: 10,642<br />
This is an increase <strong>of</strong> 191, from the 10,451 terminations reported in the state in 2002.<br />
DEATH<br />
Number <strong>of</strong> deaths: 42,297<br />
In <strong>2003</strong> the total number <strong>of</strong> deaths was 42,297 and in 2002 the death count was 41,797.<br />
Crude Death Rate: 940.7 deaths per 100,000 population<br />
In <strong>2003</strong>, the crude death rate was 940.7 deaths per 100,000 population.<br />
Ten Leading Causes <strong>of</strong> Death - Crude and Age-Adjusted Death Rates<br />
In <strong>Louisiana</strong> the ten leading causes <strong>of</strong> death and their associated rates are:<br />
Cause <strong>of</strong> Death<br />
Crude Rate<br />
Per 100,000 Population<br />
Age-Adjusted<br />
Rate*<br />
per 100,000<br />
Diseases <strong>of</strong> the Heart 271.8 271.8<br />
Malignant Neoplasms 220.2 220.2<br />
Cerebrovascular Disease 59.9 59.9<br />
Accidents 48.3 48.3<br />
Diabetes Mellitus 40.6 40.6<br />
Chronic Lower Respiratory Diseases 40.6 40.6<br />
Alzheimer’s Disease 28.9 28.9<br />
Nephritis, Nephrotic Syndrome, and Nephrosis 25.0 25.0<br />
Influenza and Pneumonia 22.0 22.0<br />
Septicemia 19.2 19.2<br />
* The age-adjusted rate is based upon the 2000 Standard Population.<br />
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SUMMARY <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Number <strong>of</strong> infant deaths: 604<br />
In <strong>2003</strong> there were 604 infant deaths and 661 in 2002.<br />
INFANT MORTALITY<br />
Infant Mortality Rate: 9.3 infant deaths per 1,000 live births<br />
In <strong>2003</strong> infant mortality rate was 9.3 and the rate for 2002 was 9.8.<br />
Number <strong>of</strong> Maternal Deaths: 12<br />
In <strong>Louisiana</strong>, the number <strong>of</strong> maternal deaths was 12 in <strong>2003</strong>.<br />
MATERNAL MORTALITY<br />
MARRIAGE AND DIVORCE<br />
Number <strong>of</strong> Marriages: 37,288<br />
This is an increase <strong>of</strong> 743 marriages from the 36,545 marriages that occurred in 2002.<br />
Number <strong>of</strong> Covenant Marriages: 408<br />
This choice became available to <strong>Louisiana</strong> residents in August 1997.<br />
Number <strong>of</strong> Divorces: 15,230<br />
Divorce reports were submitted by all 64 <strong>Louisiana</strong> parishes in <strong>2003</strong>.<br />
1 United States Census Bureau. “U.S. Bureau <strong>of</strong> the Census” http://www.census.gov<br />
2 Bridged-Race Postcensal Population Estimates <strong>2003</strong>, U.S. Bureau <strong>of</strong> the Census.<br />
3 Ibid.<br />
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Page 6 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT POPULATION<br />
POPULATION<br />
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POPULATION <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
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Page 8 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT POPULATION<br />
INTRODUCTION<br />
Use <strong>of</strong> Population Data in <strong>Vital</strong> Event Surveillance<br />
Simple counts <strong>of</strong> information collected on vital certificates or forms are helpful in planning provisions for health services since<br />
they document the number <strong>of</strong> people who experience health events in a particular geographic area.<br />
When questions concerning comparisons between population groups arise, however, simple counts are <strong>of</strong>ten misleading<br />
because they do not account for differences in the composition <strong>of</strong> the groups. For example, more people die in towns where the<br />
majority <strong>of</strong> the inhabitants are elderly than in towns with a majority <strong>of</strong> young adults, simply because older people die more <strong>of</strong>ten<br />
than younger people do. Solely relying on counts as a measure <strong>of</strong> the magnitude <strong>of</strong> the vital event would deceptively imply that<br />
the town with a greater majority <strong>of</strong> elderly people has an abnormally high occurrence <strong>of</strong> death. Statisticians calculate rates in<br />
order to address these and other concerns related to the comparison <strong>of</strong> groups within a population. Rates provide a way to<br />
relate the number <strong>of</strong> events that occurred to the population in which they occurred. They are calculated by dividing the number<br />
<strong>of</strong> events by the number <strong>of</strong> people in the group, then multiplying the quotient by an appropriate enlarging factor (typically 1,000<br />
or 100,000) to provide an understandable integer. As is <strong>of</strong>ten the case, when the number <strong>of</strong> individuals in a group where the<br />
event occurred is not known, census population data are used to estimate the number.<br />
<strong>Louisiana</strong> population figures provide a frame <strong>of</strong> reference for examining the vital events that occur within the resident population<br />
within a particular year. State population figures are used to calculate the overall rates at which births and deaths occur<br />
throughout the state.<br />
Source <strong>of</strong> Data: <strong>2003</strong> estimate from United States Bureau <strong>of</strong> Census<br />
For the years that fall between the ten-year census counts, intercensal population estimates are calculated by the United States<br />
Census Bureau. These estimates <strong>of</strong> yearly populations are based on determinations <strong>of</strong> the number <strong>of</strong> births, deaths, and<br />
migrations into and out <strong>of</strong> the state on an annual basis.<br />
Detailed intercensal estimates for <strong>2003</strong> were calculated based on data provided by the U.S. Bureau <strong>of</strong> the Census in their<br />
Bridged-Race Postcensal Population Estimates <strong>2003</strong>. Data from the same source were used in the calculation <strong>of</strong> rates in this<br />
report.<br />
Population Estimates<br />
The <strong>2003</strong> US Census estimate placed the number <strong>of</strong> <strong>Louisiana</strong> residents at 4,496,334. Historical estimates <strong>of</strong> the total <strong>Louisiana</strong><br />
population are shown in Table 1.1.<br />
Estimates grouped by sex, race, and age describe the population’s composition and are used to calculate rates for comparison<br />
<strong>of</strong> vital events among population subgroups (Table 1.2). The approximately equivalent <strong>2003</strong> estimates were used for calculation.<br />
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POPULATION <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Gender<br />
Race<br />
Table 1.2: Population by Gender, Race, and Age Groups 0-49, <strong>Louisiana</strong>, <strong>2003</strong><br />
Age Group (years)<br />
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49<br />
White 92,684 91,036 98,445 102,556 108,800 93,589 96,504 101,494 114,343 113,477<br />
Black 69,584 64,392 70,227 70,751 65,540 48,997 43,610 45,310 48,182 46,279<br />
Male Other 3,357 3,559 3,863 3,936 4,735 4,823 4,211 4,088 3,715 3,359<br />
Total 165,625 158,987 172,535 177,243 179,075 147,409 144,325 150,892 166,240 163,115<br />
White 88,763 86,777 93,001 96,969 105,976 90,468 95,027 100,650 115,212 112,650<br />
Black 66,851 62,805 67,538 69,390 68,394 55,751 50,203 53,766 57,331 54,793<br />
Female Other 3,189 3,426 3,630 3,598 4,399 4,292 4,173 3,842 3,816 3,562<br />
Total 158,803 153,008 164,169 169,957 178,769 150,511 149,403 158,258 176,359 171,005<br />
Source: Bridged-Race Postcensal Population Estimates <strong>2003</strong>, U.S. Bureau <strong>of</strong> the Census<br />
Calculated based on data provided by the U.S. Bureau <strong>of</strong> the Census<br />
Gender Race<br />
Table 1.1: Population, <strong>Louisiana</strong>, 1945-<strong>2003</strong><br />
Year Population Year Population Year Population<br />
1945 2,429,000 1965 3,496,000 1985 4,408,118<br />
1946 2,556,000 1966 3,550,000 1986 4,406,919<br />
1947 2,579,000 1967 3,581,000 1987 4,344,148<br />
1948 2,596,000 1968 3,603,000 1988 4,288,863<br />
1949 2,634,000 1969 3,619,000 1989 4,252,894<br />
1950 2,697,000 1970 3,644,637 1990 4,219,179<br />
1951 2,769,000 1971 3,710,487 1991 4,240,150<br />
1952 2,842,000 1972 3,761,646 1992 4,270,849<br />
1953 2,866,000 1973 3,788,375 1993 4,284,749<br />
1954 2,883,000 1974 3,820,109 1994 4,306,500<br />
1955 2,946,000 1975 3,886,104 1995 4,327,978<br />
1956 3,032,000 1976 3,950,605 1996 4,338,763<br />
1957 3,115,000 1977 4,014,459 1997 4,351,390<br />
1958 3,155,000 1978 4,068,579 1998 4,362,758<br />
1959 3,208,000 1979 4,137,665 1999 4,372,035<br />
1960 3,260,000 1980 4,205,900 2000 4,468,976<br />
1961 3,287,000 1981 4,283,303 2001 4,470,368<br />
1962 3,345,000 1982 4,352,608 2002 4,482,646<br />
1963 3,377,000 1983 4,395,316 <strong>2003</strong> 4,496,334<br />
1964 3,446,000 1984 4,400,477<br />
Source: U.S. Bureau <strong>of</strong> the Census<br />
Table 1.2: Population by Gender, Race, and Age Groups 50-85+, <strong>Louisiana</strong>, <strong>2003</strong><br />
50-54 55-59 60-64 65-69<br />
Age Group (years)<br />
70-74 75-79 80-84 85+ Total<br />
White 100,055 85,217 65,578 51,281 43,429 34,952 21,460 13,614 1,428,514<br />
Black 38,736 27,571 19,696 15,500 11,869 8,740 5,579 4,317 704,880<br />
Male Other 2,787 2,202 1,534 1,067 759 475 253 215 48,938<br />
Total 141,578 114,990 86,808 67,848 56,057 44,167 27,292 18,146 2,182,332<br />
White 101,360 87,969 70,889 58,072 55,123 48,851 37,426 33,464 1,478,647<br />
Female<br />
Black<br />
Other<br />
46,247<br />
3,129<br />
33,677<br />
2,340<br />
25,743<br />
1,568<br />
21,420<br />
1,143<br />
17,943<br />
941<br />
14,732<br />
586<br />
10,381<br />
345<br />
10,077<br />
334<br />
787,042<br />
48,313<br />
Total 150,736 123,986 98,200 80,635 74,007 64,169 48,152 43,875 2,314,002<br />
Source: Bridged-Race Postcensal Population Estimates <strong>2003</strong>, U.S. Bureau <strong>of</strong> the Census<br />
Calculated based on data provided by the U.S. Bureau <strong>of</strong> the Census<br />
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Subgroup estimates, expressed as a percentage <strong>of</strong> the total population, indicate that population compositions for <strong>Louisiana</strong> and<br />
the United States are very similar in the distribution <strong>of</strong> sex and age (Table1.3). For both the state and the nation, the largest age<br />
group is 20-44 years, and the smallest age group is 85 years and above.<br />
Table 1.3: Percent* <strong>of</strong> Total Population by Gender and Age Group<br />
<strong>Louisiana</strong> and United States, <strong>2003</strong><br />
Gender<br />
POPULATION <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Gender<br />
Male<br />
Female<br />
Race<br />
Table 1.5: Percent Distribution by Race and Gender, Within Age Groups 50-85+<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Age Group (years)<br />
50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ Total<br />
White 34.2 35.7 35.4 34.5 33.4 32.3 28.4 22.0 31.8<br />
Black 13.3 11.5 10.6 10.4 9.1 8.1 7.4 7.0 15.7<br />
Other 1.0 0.9 0.8 0.7 0.6 0.4 0.3 0.3 1.1<br />
Total 48.4 48.1 46.9 45.7 43.1 40.8 36.2 29.3 48.5<br />
White 34.7 36.8 38.3 39.1 42.4 45.1 49.6 54.0 32.9<br />
Black 15.8 14.1 13.9 14.4 13.8 13.6 13.8 16.2 17.5<br />
Other 1.1 1.0 0.8 0.8 0.7 0.5 0.5 0.5 1.1<br />
Total 51.6 51.9 53.1 54.3 56.9 59.2 63.8 70.7 51.5<br />
Source: Bridged-Race Postcensal Population Estimates <strong>2003</strong>, U.S. Bureau <strong>of</strong> the Census<br />
Calculated based on data provided by the U.S. Bureau <strong>of</strong> the Census<br />
<strong>2003</strong> population estimates for each <strong>of</strong> <strong>Louisiana</strong>'s 64 parishes (counties) show the distribution <strong>of</strong> the total population across the<br />
state. Parish-level populations are shown in table 1.6.<br />
Table 1.6: Population Counts by Parish<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Parish <strong>2003</strong> Parish<br />
Estimate<br />
Parish <strong>2003</strong> Parish<br />
Estimate<br />
Acadia 59,165 Madison 13,091<br />
Allen 25,334 Morehouse 30,520<br />
Ascension 81,388 Natchitoches 39,328<br />
Assumption 23,291 Orleans 469,271<br />
Avoyelles 42,287 Ouachita 148,112<br />
Beauregard 33,190 Plaquemines 28,049<br />
Bienville 15,580 Pointe Coupee 22,114<br />
Bossier 102,088 Rapides 127,184<br />
Caddo 254,216 Red River 9,556<br />
Calcasieu 184,693 Richland 20,151<br />
Caldwell 10,715 Sabine 23,635<br />
Cameron 9,717 St. Bernard 66,172<br />
Catahoula 10,717 St. Charles 48,351<br />
Claiborne 16,428 St. Helena 10,500<br />
Concordia 19,995 St. James 21,139<br />
DeSoto 25,490 St. John 44,053<br />
East Baton Rouge 416,881 St. Landry 89,128<br />
East Carroll 9,005 St. Martin 49,294<br />
East Feliciana 20,940 St. Mary 52,403<br />
Evangeline 35,180 St. Tammany 202,203<br />
Franklin 20,848 Tangipahoa 102,078<br />
Grant 18,905 Tensas 6,252<br />
Iberia 73,842 Terrebonne 106,823<br />
Iberville 32,842 Union 22,330<br />
Jackson 15,591 Vermilion 54,274<br />
Jefferson 456,779 Vernon 51,959<br />
Jefferson Davis 30,826 Washington 43,634<br />
Lafayette 194,408 Webster 41,441<br />
Lafourche 91,034 West Baton Rouge 21,738<br />
LaSalle 14,349 West Carroll 12,208<br />
Lincoln 42,882 West Feliciana 15,177<br />
Livingston 99,109 Winn 16,453<br />
Source: <strong>Louisiana</strong> Technical University, Research Division, July <strong>2003</strong>.<br />
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LIVE BIRTHS<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
INTRODUCTION<br />
LIVE BIRTHS<br />
Live birth is a product <strong>of</strong> conception that shows any sign <strong>of</strong> life after delivery, irrespective <strong>of</strong> the duration <strong>of</strong> pregnancy. Signs <strong>of</strong><br />
life include breathing, heartbeat, pulsation <strong>of</strong> the umbilical cord, definite movement <strong>of</strong> voluntary muscles, or any other evidence<br />
<strong>of</strong> life, whether or not the umbilical cord has been cut or the placenta is attached. The terms “live birth” and “birth” are used<br />
interchangeably in this chapter.<br />
Birth certificates serve as legal records <strong>of</strong> birth and identification. They also provide surveillance data used to monitor fertility<br />
trends, population composition and growth, and patterns in prenatal and postnatal conditions that affect the immediate and<br />
future health <strong>of</strong> newborns and mothers. Information monitored through birth surveillance includes adequacy <strong>of</strong> prenatal care,<br />
obstetric procedures, complications during delivery, method <strong>of</strong> delivery, and infant birthweight. Examination <strong>of</strong> surveillance data<br />
helps identify mothers and infants at high risk <strong>of</strong> poor outcomes and enables effective targeting <strong>of</strong> research, educational efforts,<br />
and services to reduce this risk.<br />
Source <strong>of</strong> Data: Certificate <strong>of</strong> Live Birth<br />
The birth section <strong>of</strong> this report is based on live births that occurred to <strong>Louisiana</strong> residents during the <strong>2003</strong> calendar year. The<br />
Certificate <strong>of</strong> Live Birth is the source document for these data. All original birth certificates are routed to the <strong>Vital</strong> Records<br />
Registry in New Orleans. Birth attendants, usually physicians or licensed midwives are responsible for recording the required<br />
information on birth certificates. <strong>Louisiana</strong> law requires that the birthing facility or attendant send the original birth record to the<br />
<strong>Vital</strong> Records Registry within fifteen days <strong>of</strong> the birth and that the identities <strong>of</strong> persons included in the birth registry are kept<br />
confidential.<br />
Unless otherwise noted, all statistics reported here are for births to <strong>Louisiana</strong> residents, regardless <strong>of</strong> the state in which the birth<br />
occurred. The <strong>Vital</strong> <strong>Statistics</strong> Cooperative Program, a nationwide system <strong>of</strong> information interchange among all states and<br />
territories, makes possible the reporting <strong>of</strong> out-<strong>of</strong>-state births to <strong>Louisiana</strong> residents. As a result <strong>of</strong> the 1991 implementation <strong>of</strong><br />
<strong>Louisiana</strong>’s Electronic Birth Certificate (EBC) program, approximately 85% <strong>of</strong> all births are reported electronically by the hospital<br />
at which the birth occurred. Matching <strong>of</strong> infant death certificates with the corresponding birth certificates estimates that birth<br />
registration in <strong>Louisiana</strong> is approximately 97% complete. (1)<br />
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BIRTH COUNTS AND RATES<br />
Number <strong>of</strong> Births<br />
In the year <strong>2003</strong>, there were 64,689 live births to <strong>Louisiana</strong> residents (Figure 2.1, Table 2.1).<br />
Crude Birth Rate<br />
Changes in crude birth rates reflect changes in the number and age distribution <strong>of</strong> women <strong>of</strong> childbearing age. Because crude<br />
birth rates relate the number <strong>of</strong> live births to the total population in an area, without regard to the age or sex distribution <strong>of</strong> the<br />
population, they are useful in projecting population changes in the area.<br />
<strong>Louisiana</strong>’s <strong>2003</strong> crude birth rate was 14.4 live births per 1,000 population. The national rate was 14.1(Figure 2.2, Table 2.1) (2) .<br />
Births in thousand<br />
Rate per 1,000 population<br />
100<br />
80<br />
60<br />
40<br />
20<br />
Figure 2.1: Number <strong>of</strong> Births and Crude Birth Rates,<br />
<strong>Louisiana</strong>, 1958-<strong>2003</strong><br />
0<br />
0.0<br />
1958 1963 1968 1973 1978 1983 1988 1993 1998 <strong>2003</strong><br />
Figure 2.2: Crude Birth Rates,<br />
<strong>Louisiana</strong> and United States,1958-<strong>2003</strong><br />
35.0<br />
30.0<br />
25.0<br />
20.0<br />
15.0<br />
10.0<br />
5.0<br />
0.0<br />
1958 1963 1968 1973 1978 1983 1988 1993 1998 <strong>2003</strong><br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong>.<br />
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35.0<br />
30.0<br />
25.0<br />
20.0<br />
15.0<br />
10.0<br />
5.0<br />
Rate per 1,000 population<br />
LA<br />
USA<br />
Number<br />
Rate
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
Fertility Rates<br />
Year<br />
Table 2.1: Number <strong>of</strong> Live Births, Crude Birth Rates, and Percent Changes,<br />
<strong>Louisiana</strong> and United States, 1984-<strong>2003</strong><br />
Number<br />
% change from<br />
previous year<br />
<strong>Louisiana</strong> United States<br />
Rate+ % change from<br />
previous year<br />
Number<br />
% change from<br />
previous year<br />
Rate+ % change from<br />
previous year<br />
1984 81,428 -1.2 18.3 -1.6 3,669,141 0.8 15.6 0.0<br />
1985 81,401 0.0 18.1 -1.1 3,760,561 0.8 15.8 1.3<br />
1986 77,944 -4.2 17.3 -4.4 3,756,547 -0.1 15.6 -1.3<br />
1987 73,952 -5.1 16.6 -4.0 3,809,394 1.4 15.7 0.6<br />
1988 73,887 -0.1 16.7 0.6 3,909,510 2.6 16.0 1.9<br />
1989 72,639 -1.7 16.6 -0.6 4,040,958 3.4 16.4 2.4<br />
1990 72,121 -0.7 17.1 3.0 4,158,212 2.9 16.7 1.8<br />
1991 72,080 -0.1 17.0 -0.6 4,110,907 -1.1 16.3 -2.5<br />
1992 70,502 -2.2 16.4 -3.5 4,065,014 -1.1 15.9 -2.5<br />
1993 69,328 -1.7 16.1 -1.8 4,000,240 -1.6 15.5 -2.6<br />
1994 67,802 -2.2 15.7 -2.5 3,952,767 -1.2 15.2 -2.0<br />
1995 65574 -3.3 14.7 -6.4 3,899,589 -1.3 14.8 -2.7<br />
1996 65,186 -0.6 15.0 2.0 3,891,494 -0.2 14.7 -0.7<br />
1997 65,947 1.2 15.2 1.3 3,880,894 -0.3 14.5 -1.4<br />
1998 66,773 1.3 15.3 0.7 3,941,553 1.6 14.6 0.7<br />
1999 67,034 0.4 15.3 0.0 3,959,417 0.5 14.5 -0.7<br />
2000 67,843 1.2 15.2 -0.7 4,058,814 2.5 14.4 -0.7<br />
2001 65,193 -3.9 14.6 -3.9 4,025,933 -0.8 14.1 -2.1<br />
2002 64,755 -0.7 14.4 -1.4 4,021,726 -0.1 13.9 -1.4<br />
<strong>2003</strong> 64,689 -0.1 14.4 0.0 4,089,950 1.7 14.1 1.4<br />
+ Rate per 1,000 population.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong>.<br />
Fertility rates are based solely on women in their prime childbearing years, considered for calculation purposes to be 15-44<br />
years <strong>of</strong> age. They are more useful than crude birth rates in controlling for differences in age-distribution among women who<br />
give birth and are useful for comparisons <strong>of</strong> fertility among age, racial, and socioeconomic groups. In the last half-century,<br />
<strong>Louisiana</strong> and the United States have followed a similar fertility pattern, with a trend toward declining fertility rates. In <strong>2003</strong>, the<br />
<strong>Louisiana</strong> fertility rate was 65.8 and the United States rate was 66.1 births per 1,000 women aged 15-44 years. (3)<br />
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Table 2.2: Crude Birth Rates, Fertility Rates, and Age-Specific Birth Rates<br />
<strong>Louisiana</strong>, 1984-<strong>2003</strong><br />
Age-Specific Birth Rate 2 Year<br />
Crude Birth<br />
Rate<br />
by Maternal Age Group<br />
+<br />
Fertility<br />
Rate 1<br />
Less than 15 * 15-19 Less than 20 20-24 25-29 30-34 35-39 40-44 45-49 **<br />
1984 18.3 76.5 2.4 71.6 38.6 130.8 116.5 64.9 22.3 4.2 0.3<br />
1985 18.1 76.4 2.2 72.4 38.8 131.3 117.2 66.2 23.0 4.0 0.2<br />
1986 17.3 73.3 2.4 68.0 36.8 128.7 114.3 64.1 23.0 4.0 0.2<br />
1987 16.6 70.8 2.2 66.7 35.8 126.4 111.3 63.9 22.6 4.2 0.2<br />
1988 16.7 72.2 2.2 68.4 36.2 129.8 116.0 65.8 23.8 4.4 0.2<br />
1989 16.6 71.9 2.4 70.9 36.9 130.9 115.9 66.6 23.9 4.4 0.2<br />
1990 17.1 71.6 2.4 74.7 38.5 132.7 114.7 66.0 25.6 4.1 0.2<br />
1991 17.0 71.6 2.6 75.9 38.3 133.1 117.0 66.4 25.7 4.3 0.2<br />
1992 16.4 70.1 2.3 75.9 38.0 129.7 114.6 66.9 24.8 4.2 0.2<br />
1993 16.1 69.0 2.4 75.8 38.2 127.0 112.1 68.3 25.0 4.6 0.2<br />
1994 15.7 67.6 2.3 74.4 37.8 122.4 110.1 69.9 25.6 4.9 0.1<br />
1995 14.7 65.4 2.0 70.0 36.0 117.8 108.4 69.8 26.0 4.7 0.2<br />
1996 15.0 64.9 2.2 67.0 35.4 118.2 107.2 71.3 26.7 5.1 0.2<br />
1997 15.2 65.6 1.8 66.1 35.4 120.7 110.0 73.2 27.0 5.0 0.3<br />
1998 15.3 66.6 1.9 65.2 35.4 124.4 111.2 74.3 28.6 4.7 0.2<br />
1999 15.3 67.6 1.6 62.6 33.9 126.0 114.4 77.7 29.5 5.2 0.2<br />
2000 15.2 67.4 1.6 62.0 32.8 132.5 111.3 75.4 28.6 5.2 0.2<br />
2001 14.6 65.5 1.3 58.1 30.5 124.2 109.4 74.1 29.1 5.5 0.3<br />
2002 14.4 65.3 1.5 57.8 30.3 120.7 107.8 74.7 29.1 5.5 0.2<br />
<strong>2003</strong> 14.4 65.8 1.1 55.6 28.8 118.8 111.1 75.5 30.7 5.2 0.3<br />
+ Rate per 1,000 population. 1 Rate per 1,000 women aged 15-44. 2 Rate per 1,000 women in age group. * Numerator = all live births to mothers under 15 years<br />
<strong>of</strong> age; Denominator = female population 10-14 years <strong>of</strong> age. ** Numerator = all live births to mothers 45 and older; Denominator = female population 45-49<br />
years <strong>of</strong> age. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
MATERNAL PROFILE<br />
Age <strong>of</strong> Mother<br />
Reflecting a decrease in birth rates among women under 30 years <strong>of</strong> age, overall birth and fertility rates have declined in the<br />
state since the 1980s. For women between the ages <strong>of</strong> 30 and 39 years, however, the birth rates have increased, thus<br />
suggesting a preference among women in that age group to delay having children until the latter part <strong>of</strong> their childbearing years<br />
(see Tables 2.2 and 2.3). This behavior among women in their 30s is comparable to national trends in age-specific birth rates in<br />
the past decade.<br />
Table 2.3: First Birth Rates + by Maternal Age<br />
<strong>Louisiana</strong> and United States, 1994-<strong>2003</strong><br />
Maternal Age Group<br />
15-44 15-44<br />
Year<br />
Less than 15 *<br />
15-19 20-24 25-29 30-34 35-39 40-44<br />
<strong>Louisiana</strong> United States<br />
1994 2.3 55.0 54.6 35.3 15.1 4.2 0.7 27.2 27.5<br />
1995 1.9 53.3 52.6 36.6 15.8 4.4 0.7 27.0 27.3<br />
1996 2.1 50.8 52.0 36.9 16.9 4.4 0.8 26.7 26.8<br />
1997 1.8 50.4 51.5 36.8 17.2 4.9 0.8 26.7 26.5<br />
1998 1.8 50.0 51.9 35.8 17.5 5.3 0.7 26.8 26.4<br />
1999 1.6 47.7 52.2 37.5 18.4 5.3 0.9 27.0 26.6<br />
2000 1.6 47.4 53.9 31.9 18.6 6.1 0.9 26.5 26.5<br />
2001 1.3 43.7 53.8 32.7 17.2 5.0 0.9 25.3 26.0<br />
2002 1.5 43.9 52.7 33.3 17.6 5.1 1.0 25.5 25.8<br />
<strong>2003</strong> 1.1 42.5 51.1 34.3 17.7 5.4 1.0 25.4 26.5<br />
+ *<br />
First birth per 1,000 women in specified age group. Numerator = all live births to mothers under 15 years <strong>of</strong> age;<br />
Denominator = female population 10-14 years <strong>of</strong> age.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong>.<br />
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Birth Order<br />
The first-birth rate measures the number <strong>of</strong> first births to mothers in a particular age group. The rate is calculated by dividing<br />
the number <strong>of</strong> first births to mothers in a particular age group by the total female population in that age group, then multiplying<br />
the quotient by 1,000. It is expressed as the number <strong>of</strong> first births per 1,000 women in that age group. First-birth rates are<br />
helpful in assessing changes over time in the age at which women begin bearing children.<br />
Counts <strong>of</strong> <strong>2003</strong> live births by birth order are presented in the following table.<br />
Birth Order<br />
ALL<br />
Race Total Less<br />
than 15<br />
1<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
9<br />
Table 2.4: Number <strong>of</strong> Live Births by Birth Order, Age and Race <strong>of</strong> Mother<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Age Group<br />
15-19 20-24 25-29 30-34 35-39 40-44<br />
45<br />
& Older Unk.<br />
Percent <strong>of</strong><br />
Live Births<br />
Mean<br />
Age <strong>of</strong><br />
Mother<br />
Median<br />
Age <strong>of</strong><br />
Mother<br />
ALL +++ 64689 183 9452 21240 16716 11281 4851 909 54 **** 100.0 25.7 24.4<br />
WHITE 37066 31 3899 10851 10423 7923 3317 586 34 **** 57.3 26.7 25.7<br />
BLACK 26024 150 5444 10037 5825 2909 1348 291 19 **** 40.2 24.1 22.5<br />
ALL 25405 180 7362 9034 5077 2697 879 170 6 0 39.3 23.2 21.7<br />
WHITE 15292 31 3235 5340 3792 2107 663 121 **** 0 23.6 24.4 23.0<br />
BLACK 9464 147 4038 3514 1092 458 168 44 **** 0 14.6 21.2 19.8<br />
ALL 20952 **** 1742 7256 5887 4241 1576 238 9 0 32.4 26.4 25.6<br />
WHITE 12809 0 577 3782 3946 3208 1133 156 7 0 19.8 27.4 26.8<br />
BLACK 7613 **** 1147 3357 1782 870 378 74 **** 0 11.8 24.5 22.9<br />
ALL 11194 0 302 3412 3451 2537 1271 207 14 0 17.3 27.7 26.8<br />
WHITE 6084 0 78 1339 1897 1722 903 135 10 0 9.4 29.0 28.6<br />
BLACK 4841 0 222 2031 1472 722 327 64 **** 0 7.5 26.0 24.7<br />
ALL 4358 0 34 1145 1431 1053 571 120 **** 0 6.7 28.6 27.7<br />
WHITE 1970 0 **** 316 604 610 358 75 **** 0 3.0 30.2 29.8<br />
BLACK 2285 0 30 818 800 407 190 39 **** 0 3.5 27.0 25.7<br />
ALL 1526 0 5 291 506 393 245 76 10 0 2.4 29.8 28.8<br />
WHITE 528 0 0 58 119 175 125 46 5 0 0.8 32.0 31.7<br />
BLACK 971 0 5 232 383 203 117 26 5 0 1.5 28.5 27.0<br />
ALL 648 0 **** 71 223 182 133 33 5 0 1.0 30.8 29.8<br />
WHITE 202 0 0 5 40 64 71 19 **** 0 0.3 33.7 33.7<br />
BLACK 433 0 **** 66 181 111 59 13 **** 0 0.7 29.4 28.5<br />
ALL 284 0 0 12 86 84 79 20 **** 0 0.4 32.3 31.8<br />
WHITE 75 0 0 **** 9 25 28 11 **** 0 0.1 34.8 34.7<br />
BLACK 206 0 0 11 76 58 50 9 **** 0 0.3 31.3 30.6<br />
ALL 124 0 0 **** 30 45 33 14 0 0 0.2 33.2 32.6<br />
WHITE 33 0 0 0 **** 6 14 9 0 0 0.1 36.4 35.9<br />
BLACK 87 0 0 **** 26 37 17 5 0 0 0.1 31.9 30.8<br />
ALL 68 0 0 0 7 24 24 13 0 0 0.1 35.1 34.9<br />
WHITE 14 0 0 0 0 **** 6 7 0 0 0.0 39.3 39.7<br />
BLACK 54 0 0 0 7 23 18 6 0 0 0.1 34.1 33.6<br />
+++ All Races contains white, black and other. **** Cells suppressed to protect confidentiality.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
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Race <strong>of</strong> Mother<br />
Of the 64,689 births to <strong>Louisiana</strong> residents, 37,066 (57.3%) were to white mothers, 26,024 (40.2%) to black mothers, and 1,599<br />
(2.5%) to mothers <strong>of</strong> other races (Table 2.5).<br />
Race<br />
Less than<br />
15<br />
**** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Table 2.6: Crude Birth Rates + , Fertility Rates 1 , and Age-Specific Birth Rates 2 by Maternal Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Age-Specific Birth Rates 2 Race<br />
Crude<br />
Rates<br />
by Maternal Age Group<br />
+<br />
Fertility<br />
Rates 1 Less than<br />
3<br />
15<br />
15-19 Under 20 20-24 25-29 30-34 35-39 40-44 45-494<br />
All Races 14.4 65.8 1.1 55.6 28.8 118.8 111.1 75.5 30.7 5.2 0.3<br />
White 12.7 61.3 0.3 40.2 57.1 102.4 115.2 83.4 33.0 5.1 0.3<br />
Black 17.4 73.3 2.2 78.5 73.3 146.8 104.5 57.9 25.1 5.1 0.3<br />
Other 1.6 66.3 0.1 3.0 4.9 80.0 10.9 10.8 4.8 0.8 0.0<br />
+ Rate per 1,000 population.<br />
1 Rate per 1,000 women aged 15-44.<br />
2 Rate per 1,000 women in corresponding age group.<br />
3 Numerator = all live births to mothers under 15 years <strong>of</strong> age; denominator = female population 10-14 years <strong>of</strong> age.<br />
4 Numerator = all live births to mothers 45 -54; denominator = female population 45-49 years <strong>of</strong> age.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Teen and Pre-Teen Births<br />
Table 2.5: Number <strong>of</strong> Live Births by Maternal Age and Race<br />
<strong>Louisiana</strong> <strong>2003</strong><br />
Maternal Age Group<br />
15-19 Under 20 20-24 25-29 30-34 35-39 40-44 45 & older All ages<br />
All<br />
(Excluding<br />
Unknown)<br />
All Races 183 9452 9635 21240 16716 11281 4851 909 54 64689 64686<br />
White 31 3899 3930 10851 10423 7923 3317 586 34 37066 37064<br />
Black 150 5444 5594 10037 5825 2909 1348 291 19 26024 26023<br />
Other **** 109 111 352 468 449 186 32 **** 1599 1599<br />
A teen birth is defined as a birth to a woman aged 13 to 19 years <strong>of</strong> age. A pre-teen birth is a birth to a woman younger than<br />
13 years old. Despite an overall decrease in teen and pre-teen birth rates over the last two decades, teenage and pre-teenage<br />
pregnancies continue to present challenges to health initiatives nationwide. Most pre-teen and teen births are unintended, and<br />
the educational attainment <strong>of</strong> mothers younger than 20 years <strong>of</strong> age is limited. In addition to the social repercussions, pre-teen<br />
and teen pregnancy and childbearing have important health consequences for the young mother as well as her baby: mothers<br />
under 20 years <strong>of</strong> age are less likely to receive timely prenatal care and pre-teens and teens are more likely to smoke during<br />
pregnancy than women over 20 years <strong>of</strong> age. These factors, combined with the fact that pre-teenage and teenage mothers are<br />
less likely to finish high school, contribute to the high proportion <strong>of</strong> women living in poverty who first gave birth during<br />
adolescence.<br />
There were 9,635 live births to <strong>Louisiana</strong> residents under the age <strong>of</strong> 20 years in the year <strong>2003</strong> (see Table 2.5 above). As in the<br />
United States overall, birth rates in <strong>Louisiana</strong> for the 15-19 years age group have been declining during the 1990s and continued<br />
to fall until 2001. The teenage birth rate for the state dropped to 55.6 per 1,000 in <strong>2003</strong>, while the rate for the United States<br />
decreased to 41.6 the same year (Table 2.7).<br />
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Table 2.7: Teenage Birth Rates 1 (maternal age group 15-19<br />
years), <strong>Louisiana</strong> and United States, 1994-<strong>2003</strong><br />
Year <strong>Louisiana</strong> U.S<br />
1994 74.4 58.9<br />
1995 70.0 56.8<br />
1996 67.0 54.4<br />
1997 66.1 52.3<br />
1998 65.2 51.1<br />
1999 62.6 49.6<br />
2000 62.0 47.7<br />
2001 56.7 45.3<br />
2002 57.8 43.0<br />
<strong>2003</strong> 55.6 41.6<br />
1 Rate per 1,000 women in corresponding age group.<br />
Sources: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong>, Vol.54, No.2, September 8, 2005.<br />
The birth rates for women aged 15-19 from different races are presented in Table 2.8.<br />
Table 2.8: Teens and Pre-Teens: Age-specific<br />
Birth Rates + by Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal<br />
Maternal Race<br />
Age Group White Black Other<br />
Less than 15 0.3 2.2 --<br />
15-17 17.6 48.0 17.7<br />
18-19 73.0 120.6 49.1<br />
15-19 40.2 78.5 30.3<br />
+<br />
Rate per 1,000 women in race and age group.<br />
-- Count is less than 20, making the calculated rate unreliable.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Relative to mothers <strong>of</strong> all ages, teenage and pre-teenage mothers were less likely to enter prenatal care within the first trimester<br />
<strong>of</strong> pregnancy (Table 2.9).<br />
Table 2.9: Teens and Pre-Teens: Number and Percents <strong>of</strong><br />
Live Births to Mothers Entering Prenatal Care in the<br />
First Trimester, by Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong><br />
White<br />
Maternal Race<br />
Black All Races +++<br />
Maternal Age<br />
Group<br />
Number Percent + Number Percent +<br />
Number Percent +<br />
Less than 15 25 80.6 70 46.7 97 53.0<br />
15 71 70.3 165 56.5 238 60.1<br />
16 198 78.3 361 57.5 564 63.4<br />
17 514 78.0 682 67.3 1212 71.3<br />
18 1000 80.8 1075 68.1 2090 73.6<br />
19 1317 79.9 1375 71.1 2722 75.0<br />
15-19 3100 79.5 3658 67.2 6826 72.2<br />
+ Percent <strong>of</strong> live births entering prenatal care in first trimester in age and race group.<br />
+++ All Races includes white, black and other.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
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LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Teenagers and pre-teenagers were also more likely to give birth to low birthweight infants, with 13.0% <strong>of</strong> live births to women<br />
15 -19 years <strong>of</strong> age being low birthweight (Table 2.10).<br />
Education<br />
Three-quarters (77.8%) <strong>of</strong> <strong>Louisiana</strong>’s live births in <strong>2003</strong> occurred to mothers with at least a high school education. When<br />
examined by race, 69.4% <strong>of</strong> black infants, and 83.4% <strong>of</strong> white infants, were born to mothers with at least a high school level<br />
education (Table 2.11).<br />
Table 2.11: Number and Percent <strong>of</strong> Live Births by Maternal Education and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Race<br />
White Black Other All Races +++<br />
Education Level<br />
Number Percent +<br />
Number Percent +<br />
Number Percent +<br />
Number Percent +<br />
No high school 1215 3.3 917 3.5 110 6.9 2242 3.5<br />
Some high school 4905 13.2 7019 27.0 218 13.6 12142 18.8<br />
High school graduate 12593 34.0 10441 40.1 523 32.7 23557 36.4<br />
Some college 7824 21.1 5247 20.2 287 17.9 13358 20.6<br />
College graduate 10490 28.3 2376 9.1 461 28.8 13327 20.6<br />
Known Total 37027 100.0 26000 100.0 1599 100.0 64626 100.0<br />
+ May not sum to 100% due to rounding.<br />
+++ All Races includes white, black and other. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Marital Status<br />
Maternal Age<br />
Table 2.10: Teens and Pre-Teens: Number and Percent <strong>of</strong> Live Births<br />
Under 2500 Grams by Maternal Race and Selected Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Race<br />
White Black All Races +++<br />
Number Percent +<br />
Number Percent +<br />
Number Percent +<br />
Less than 15 **** 12.9 28 18.7 32 17.5<br />
15 13 12.9 57 19.5 70 17.7<br />
16 29 11.5 102 16.2 132 14.8<br />
17 68 10.3 151 14.9 219 12.9<br />
18 122 9.9 238 15.1 360 12.7<br />
19 145 8.8 295 15.3 444 12.2<br />
15-19 377 9.7 843 15.5 1225 13.0<br />
+ Percent <strong>of</strong> live births
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
Table 2.12: Percent + <strong>of</strong> Live Births to Unmarried Mothers by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal<br />
Race<br />
Less<br />
than 15<br />
Maternal Age Group<br />
15-19 20-24 25-29 30-34 35-39<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 23<br />
40 &<br />
Older<br />
All Ages<br />
All Races 99.5 87.9 62.0 34.0 19.7 19.8 21.5 47.5<br />
White 96.8 75.8 41.8 17.2 9.8 11.0 12.4 28.4<br />
Black 100.0 96.8 84.3 65.2 47.8 43.2 41.0 76.0<br />
Other 100.0 78.0 49.4 19.9 13.6 6.5 -- 26.9<br />
-- Count is less than 20, making the calculated rate unreliable.<br />
+ Percent <strong>of</strong> live births in the specified maternal age group. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Table 2.13: Percent + <strong>of</strong> Live Births to Unmarried Mothers by Maternal Age<br />
<strong>Louisiana</strong> and the United States, 1999-<strong>2003</strong><br />
Year<br />
Less<br />
15-19<br />
than 15<br />
<strong>Louisiana</strong>: Maternal Age Group<br />
20-24 25-29 30-34 35-39<br />
40 &<br />
Older<br />
All Less<br />
Ages than 15<br />
15-19<br />
United States: Maternal Age Group<br />
20-24 25-29 30-34 35-39<br />
40 &<br />
Older<br />
All Ages<br />
1999 99.6 84.7 57.5 27.4 18.5 19.8 22.1 44.8 96.5 78.7 48.5 22.9 14.0 14.4 16.5 33.0<br />
2000 98.9 85.2 59.2 29.0 17.9 20.3 21.8 45.6 96.5 78.8 49.5 23.5 14.0 14.5 16.8 33.2<br />
2001 99.1 86.7 60.5 30.5 18.5 19.1 24.0 46.3 96.3 78.9 50.4 24.4 14.3 14.4 17.1 33.5<br />
2002 99.2 86.7 61.7 31.7 18.4 19.9 22.1 47.0 97.0 80.0 51.6 25.3 14.6 14.5 17.3 34.0<br />
<strong>2003</strong> 99.5 87.9 62.0 34.0 19.7 19.8 21.7 47.5 97.1 81.3 53.2 26.4 15.1 14.8 17.9 34.6<br />
++ Percent <strong>of</strong> live births in the specified maternal age group. Sources: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong>.<br />
Prenatal Care<br />
Racial differences with regard to the entry into prenatal care were observed in both <strong>Louisiana</strong> and the United States.<br />
Table 2.14: Percent <strong>of</strong> Live Births to Women Entering Prenatal Care<br />
in the 1 st Trimester <strong>of</strong> Pregnancy by Maternal Race<br />
<strong>Louisiana</strong> and United States, <strong>2003</strong><br />
Maternal Race <strong>Louisiana</strong> United States<br />
All Races +++<br />
Sources: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
84.1 84.1<br />
White 90.1 85.7<br />
Black 75.5 75.9<br />
+++ All Races includes white, black and other.<br />
Sources: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>. National Center for Health <strong>Statistics</strong>.<br />
Table 2.15: Percent <strong>of</strong> Women Delivering Live Births Receiving Adequate Prenatal Care by<br />
Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal<br />
Race<br />
All Ages<br />
Less than<br />
15<br />
Maternal Age Group<br />
15-19 20-24 25-29 30-34 35-39 40-44 45+<br />
All Races +++ 80.1 47.0 67.2 75.8 85.5 88.7 86.3 83.0 67.9<br />
White 86.8 67.7 75.5 82.7 90.3 92.1 90.4 89.6 75.8<br />
Black 70.3 42.0 61.5 68.2 77.0 79.6 76.0 68.6 52.6
LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
In <strong>Louisiana</strong>, adequacy <strong>of</strong> prenatal care is measured by a modified Kessner index (see Technical Notes). This index defines<br />
prenatal care as adequate if the first prenatal visit occurred in the first trimester <strong>of</strong> pregnancy, and if the total number <strong>of</strong> visits<br />
was appropriate to the gestational age <strong>of</strong> the baby at birth. However, because these measures assess neither the quality nor<br />
the content <strong>of</strong> prenatal care, they must be recognized only as estimates <strong>of</strong> the actual adequacy <strong>of</strong> the care received.<br />
Table 2.16: Percents <strong>of</strong> Live Births to Women Entering Prenatal Care in the<br />
First Trimester <strong>of</strong> Pregnancy, <strong>Louisiana</strong> and the United States, 1994-<strong>2003</strong><br />
Year <strong>Louisiana</strong> United States<br />
1994 79.2 80.2<br />
1995 80.7 81.3<br />
1996 81.1 81.9<br />
1997 81.3 82.5<br />
1998 82.3 82.8<br />
1999 82.9 83.2<br />
2000 83.3 83.2<br />
2001 83.2 83.4<br />
2002 83.7 83.7<br />
<strong>2003</strong> 84.1 84.1<br />
Sources: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong>.<br />
Note: Women with multiple births are counted once. In <strong>2003</strong>, 63,674 women in <strong>Louisiana</strong> had at least one live birth.<br />
+++ All races include white, black, and other. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
In <strong>Louisiana</strong>, the percentage <strong>of</strong> live births to mothers entering prenatal care in the first trimester has increased steadily since the<br />
early 1990s (Table 2.17), a trend that has been noticed in the United States as well.<br />
Table 2.17: Percents + <strong>of</strong> Live Births by Initiation <strong>of</strong> Prenatal Care, Maternal Age, and Maternal Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Trimester <strong>of</strong> Prenatal Care Initiation<br />
Maternal<br />
Age<br />
Group All<br />
+++<br />
Races<br />
No Care<br />
White Black<br />
First Trimester<br />
All<br />
+++ White Black<br />
Races<br />
Second Trimester<br />
All<br />
+++ White Black<br />
Races<br />
Third Trimester<br />
All<br />
+++ White Black<br />
Races<br />
Under 20 1.9 0.9 2.6 72.0 79.7 66.8 22.2 16.8 25.8 3.9 2.6 4.9<br />
20-24 1.5 0.7 2.3 80.5 86.4 73.9 15.7 11.5 20.4 2.3 1.4 3.3<br />
25-29 1.1 0.4 2.3 88.9 92.9 81.8 8.7 5.9 13.5 1.3 0.7 2.4<br />
30-34 1.0 0.4 3.0 91.6 94.8 83.3 6.3 4.3 11.7 1.0 0.6 2.0<br />
35-39 1.5 0.6 3.8 90.2 93.7 80.9 7.4 5.2 13.4 0.9 0.5 1.9<br />
40 &<br />
Older<br />
1.9 0.8 4.2 85.8 92.2 72.2 10.6 6.5 19.3 1.7 0.5 4.2<br />
All Ages 1.4 0.6 2.5 84.1 90.1 75.5 12.5 8.3 18.7 2.0 1.1 3.2<br />
+ Percent <strong>of</strong> live births in specified maternal age and race group.<br />
+++ All Races includes white, black and other. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
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In <strong>Louisiana</strong>, blacks were less likely than whites to enter into prenatal care in the first trimester, as shown in Table 2.18.<br />
Table 2.18: Rates + <strong>of</strong> Selected Medical Risk Factors for Complications <strong>of</strong> Pregnancy by Maternal Race and Age<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Medical Risk Factors for Complications <strong>of</strong> Pregnancy<br />
The birth attendant records medical risk factors on the birth certificate by checking any <strong>of</strong> 16 listed risk factors, or by specifying<br />
“other” or “none”. Multiple risk factors can be recorded on a birth certificate.<br />
Medical risk factors reported on the birth certificate differed somewhat by age, with very young mothers and older mothers<br />
reporting the highest rates <strong>of</strong> medical risks.<br />
Table 2.19: Counts 1 <strong>of</strong> Medical Risk Factors for Complications <strong>of</strong> Pregnancy by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Medical Risk Factor<br />
No medical risk factor noted<br />
Anemia (HCT
LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 2.19: Counts 1 <strong>of</strong> Medical Risk Factors for Complications <strong>of</strong> Pregnancy by Maternal Age and Race (Continued)<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Medical Risk Factor<br />
Acute or chronic lung disease<br />
Diabetes<br />
Genital herpes<br />
Hydramnios/Oligohydramnios<br />
Hemoglobinopathy<br />
Hypertension, chronic<br />
Hypertension, pregnancy<br />
associated<br />
Eclampsia<br />
Incompetent cervix<br />
Previous infant >= 4000 grams<br />
Previous preterm or small<br />
for gestational age infant<br />
Renal Disease<br />
Rh Sensitization<br />
Race Total Less<br />
than 15<br />
15 16 17 18<br />
Maternal Age Group<br />
19 15-19 20-24 25-29 30-34 35-39 40-44 45 + Unk.<br />
All 71 0 0 **** **** **** 5 13 21 22 11 **** **** 0 0<br />
White 39 0 0 0 0 **** **** 6 8 14 9 **** 0 0 0<br />
Black 32 0 0 **** **** **** **** 7 13 8 **** **** **** 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 1028 0 0 **** 10 14 24 50 204 306 283 144 39 **** 0<br />
White 628 0 0 0 6 8 13 27 122 184 179 89 25 **** 0<br />
Black 369 0 0 **** **** 6 11 23 82 114 90 48 12 0 0<br />
Other 31 0 0 0 0 0 0 0 0 8 14 7 **** 0 0<br />
All 304 0 0 **** 10 14 12 40 81 93 62 25 **** 0 0<br />
White 187 0 0 **** **** **** 8 19 41 56 49 19 **** 0 0<br />
Black 114 0 0 **** 6 10 **** 21 40 35 12 6 0 0 0<br />
Other **** 0 0 0 0 0 0 0 0 **** **** 0 0 0 0<br />
All 624 **** **** 16 27 36 40 123 194 173 85 37 8 **** 0<br />
White 289 0 **** **** 7 12 20 41 81 93 50 19 **** **** 0<br />
Black 319 **** **** 15 17 24 20 79 110 72 33 18 **** **** 0<br />
Other 16 0 0 0 **** 0 0 **** **** 8 **** 0 0 0 0<br />
All 12 0 0 **** **** **** 0 5 0 **** **** **** 0 0 0<br />
White 6 0 0 0 **** **** 0 **** 0 **** **** 0 0 0 0<br />
Black 6 0 0 **** 0 0 0 **** 0 **** **** **** 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 533 0 0 **** **** 6 6 16 88 172 137 94 23 **** 0<br />
White 213 0 0 0 **** **** **** **** 30 80 55 34 9 **** 0<br />
Black 314 0 0 **** **** **** 5 12 57 90 80 59 14 **** 0<br />
Other 6 0 0 0 0 0 0 0 **** **** **** **** 0 0 0<br />
All 2040 7 17 37 45 98 136 333 620 511 374 159 34 **** 0<br />
White 1196 **** **** 9 18 45 61 135 338 338 262 104 17 **** 0<br />
Black 813 6 15 27 27 52 75 196 273 167 103 50 17 **** 0<br />
Other 31 0 0 **** 0 **** 0 **** 9 6 9 5 0 0 0<br />
All 409 8 **** 12 11 21 34 82 144 81 63 26 5 0 0<br />
White 123 0 0 **** **** **** 10 15 38 26 31 9 **** 0 0<br />
Black 285 8 **** 11 10 18 24 67 106 54 32 17 **** 0 0<br />
Other **** 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
All 114 **** 0 **** 0 **** **** 8 29 32 25 16 **** 0 0<br />
White 47 0 0 0 0 **** 0 **** 15 12 7 9 **** 0 0<br />
Black 66 **** 0 **** 0 **** **** 6 14 20 17 7 **** 0 0<br />
Other **** 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
All 179 0 0 0 0 0 **** **** 36 59 46 26 9 **** 0<br />
White 137 0 0 0 0 0 **** **** 19 44 40 22 9 **** 0<br />
Black 38 0 0 0 0 0 0 0 16 14 **** **** 0 0 0<br />
Other **** 0 0 0 0 0 0 0 **** **** **** 0 0 0 0<br />
All 413 0 **** **** **** 7 13 25 141 121 74 41 11 0 0<br />
White 213 0 0 0 **** **** **** 7 60 68 47 24 7 0 0<br />
Black 196 0 **** **** **** 5 9 18 80 51 26 17 **** 0 0<br />
Other **** 0 0 0 0 0 0 0 **** **** **** 0 0 0 0<br />
All 28 **** **** 0 0 5 0 6 9 8 **** **** 0 0 0<br />
White 19 **** **** 0 0 **** 0 5 5 5 **** 0 0 0 0<br />
Black 9 0 0 0 0 **** 0 **** **** **** 0 **** 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 185 **** 0 0 **** **** 9 16 59 47 42 17 **** **** 0<br />
White 144 **** 0 0 **** **** 5 8 44 34 39 15 **** **** 0<br />
Black 40 0 0 0 **** **** **** 8 15 12 **** **** 0 0 0<br />
Other **** 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
Table 2.19 continues on the next page<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
Table 2.19: Counts 1 <strong>of</strong> Medical Risk Factors for Complications <strong>of</strong> Pregnancy by Maternal Age and Race (Continued)<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Medical Risk Factor<br />
Uterine bleeding<br />
Other<br />
Unknown medical risk factor<br />
Race Total Less<br />
than 15<br />
15 16 17 18<br />
Maternal Age Group<br />
19 15-19 20-24 25-29 30-34 35-39 40-44 45 + Unk.<br />
All 162 **** **** **** **** 8 6 20 54 46 26 9 5 0 0<br />
White 103 0 **** **** **** **** **** 11 31 29 22 7 **** 0 0<br />
Black 57 **** **** 0 **** **** **** 9 23 16 **** **** **** 0 0<br />
Other **** 0 0 0 0 0 0 0 0 **** 0 0 **** 0 0<br />
All 10931 60 106 216 380 545 638 1885 3490 2694 1697 891 195 19 0<br />
White 4919 11 19 38 118 171 215 561 1363 1336 995 533 108 12 0<br />
Black 5793 49 86 178 256 367 411 1298 2084 1298 651 323 83 7 0<br />
Other 219 0 **** 0 6 7 12 26 43 60 51 35 **** 0 0<br />
All 75 0 0 0 **** **** **** 7 17 12 11 16 6 **** ****<br />
White 51 0 0 0 0 **** **** **** 10 11 6 12 **** **** ****<br />
Black 23 0 0 0 **** **** **** **** 6 **** 5 **** **** **** ****<br />
Other **** 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
1 This is a duplicated count. More than one medical risk factor was noted on some birth certificates. **** Cells suppressed to protect confidentiality. 63,674 women<br />
had at least one live birth during the calendar year. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Tobacco and Alcohol Use during Pregnancy<br />
Usage <strong>of</strong> tobacco and alcohol during pregnancy, as reported by the mother at the time <strong>of</strong> birth, is recorded on the birth<br />
certificate. Because this information depends on the mother’s recall, it may be subject to inaccuracy.<br />
Table 2.20: Use <strong>of</strong> Tobacco and Alcohol during Pregnancy by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Age Group<br />
Substance Usage Race Total Less<br />
than 15<br />
15 16 17 18 19 15-19 20-24 25-29 30-34 35-39 40-44 45 + Unk.<br />
No tobacco use All 57271 177 375 819 1548 2507 3173 8422 18360 14903 10238 4341 784 46 0<br />
White 31589 28 85 202 536 967 1304 3094 8744 9112 7122 2952 507 30 0<br />
Black 24185 148 287 609 987 1517 1831 5231 9296 5348 2687 1211 249 15 0<br />
Other 1497 **** **** 8 25 23 38 97 320 443 429 178 28 **** 0<br />
Tobacco use All 6291 6 19 58 143 299 423 942 2583 1488 779 387 102 **** 0<br />
White 4805 **** 15 47 120 252 333 767 1979 1103 610 278 64 **** 0<br />
Black 1412 **** **** 11 21 44 83 163 577 370 157 104 36 **** 0<br />
Other 74 **** 0 0 **** **** 7 12 27 15 12 5 **** 0 0<br />
Unknown tobacco use All 112 0 **** 0 **** 6 **** 12 32 23 16 17 6 **** ****<br />
White 71 0 **** 0 0 **** **** 7 19 17 9 11 **** **** ****<br />
Black 40 0 0 0 **** **** **** 5 12 6 7 6 **** **** ****<br />
Other **** 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
No alcohol use All 63362 183 395 875 1690 2802 3589 9351 20907 16354 10956 4684 877 50 0<br />
White 36288 31 101 248 655 1215 1632 3851 10710 10197 7694 3207 567 31 0<br />
Black 25505 150 291 619 1008 1561 1912 5391 9850 5700 2822 1294 280 18 0<br />
Other 1569 **** **** 8 27 26 45 109 347 457 440 183 30 **** 0<br />
Alcohol use All 207 0 0 **** **** 5 7 15 38 42 61 42 9 0 0<br />
White 112 0 0 **** **** 5 5 12 15 20 38 23 **** 0 0<br />
Black 93 0 0 **** 0 0 **** **** 23 21 22 19 5 0 0<br />
Other **** 0 0 0 0 0 0 0 0 **** **** 0 0 0 0<br />
Unknown alcohol use All 105 0 0 0 **** 5 **** 10 30 18 16 19 6 **** ****<br />
White 65 0 0 0 0 **** **** 5 17 15 9 11 **** **** ****<br />
Black 39 0 0 0 **** **** **** 5 12 **** 7 8 **** **** ****<br />
Other **** 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
Note: Based on a count <strong>of</strong> women giving birth rather than the total number <strong>of</strong> live births. 63,674 women had at least one live birth during <strong>2003</strong>.<br />
**** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
_____________________________________________________________________________________________________________<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 27
LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
NEWBORN PROFILE<br />
Gender<br />
<strong>Louisiana</strong>’s male/female birth ratio was 1.046, which means that 1,046 males were born for every 1,000 females. By race, the<br />
male/female ratios were 1.042 for whites, 1.053 for blacks, and 1.037 for other races (Table 2.21).<br />
Birthweight<br />
Table 2.21: Counts <strong>of</strong> Live Births by Infant Gender and Maternal Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Infant<br />
Maternal Race<br />
Gender White Black Other Total<br />
Male 18912 13346 814 33072<br />
Female 18154 12678 785 31617<br />
Ratio (M:F) 1.042 1.053 1.037 1.046<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
A low birthweight infant is defined as an infant weighing less than 2500 grams (5 pounds, 8 ounces) at birth. Mortality and<br />
morbidity are increased among infants born at term whose birth weights are at or below the third percentile for their gestational<br />
age. (4) Preterm infants who have a lower than normal birth weight are at higher risk <strong>of</strong> experiencing neurological problems,<br />
respiratory and gastrointestinal disorders, developmental problems, and slowed growth. (5)<br />
Low birthweight has been linked to several preventable factors, including lack <strong>of</strong> prenatal care, maternal smoking, use <strong>of</strong> alcohol<br />
and other drugs, and pregnancy before the age <strong>of</strong> 18 years. Other risk factors for low birthweight include low socioeconomic<br />
level, low maternal weight gain, low pregnancy weight, first birth status, female sex, short maternal stature, prior low birthweight<br />
births, maternal illnesses, fetal infections, and a variety <strong>of</strong> metabolic and genetic disorders. Low birthweight infants who survive<br />
are more likely than normal weight infants to have brain damage, lung and liver disease, developmental problems, subnormal<br />
growth, and other adverse health conditions. The effects <strong>of</strong> low birthweight follow these infants throughout life, increasing their<br />
likelihood <strong>of</strong> physical, intellectual and behavioral difficulties. (6) Over time, higher proportions <strong>of</strong> low birthweight infants are<br />
enrolled in special education classes relative to their normal birthweight counterparts. (7)<br />
The percentages <strong>of</strong> live births weighing less than 2500 grams in <strong>Louisiana</strong> and the United States from 1994 to <strong>2003</strong> are<br />
presented in Table 2.22.<br />
Table 2.22: Percent <strong>of</strong> Live Births Less Than 2500 Grams<br />
<strong>Louisiana</strong> and United States 1994-<strong>2003</strong><br />
Year <strong>Louisiana</strong> United States<br />
1994 9.6 7.3<br />
1995 9.7 7.3<br />
1996 9.9 7.4<br />
1997 10.2 7.5<br />
1998 10.1 7.6<br />
1999 10.0 7.6<br />
2000 10.6 7.6<br />
2001 10.5 7.7<br />
2002 10.5 7.8<br />
<strong>2003</strong> 10.7 7.9<br />
Sources: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong><br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 28
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
The prevalence <strong>of</strong> low birthweight births to mothers who had no prenatal care was 26.3%; more than double that <strong>of</strong> births to<br />
mothers with prenatal care beginning in the first, second or third trimesters. Among mothers who received prenatal care,<br />
mothers who entered prenatal care in the second or third trimester had higher percentages <strong>of</strong> low birth weights than the mothers<br />
who entered prenatal care in the first trimester (Figure 2.3).<br />
Percent <strong>of</strong> live births<br />
Table 2.23: Percent + <strong>of</strong> Live Births Less Than 2500 Grams by Maternal Race,<br />
<strong>Louisiana</strong> and United States, <strong>2003</strong><br />
Race<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Location<br />
All Races +++<br />
Maternal Race<br />
White Black<br />
<strong>Louisiana</strong> 10.7 7.7 15.0<br />
United States 7.9 6.9 13.4<br />
+ Percent <strong>of</strong> live births in specified race group. +++ All races include White, Black and Other.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Less<br />
than 15<br />
Table 2.24: Percent + <strong>of</strong> Live Births Less than 2500 Grams<br />
by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Age Group<br />
15-19 20-24 25-29 30-34 35-39 40 -44<br />
Fig 2.3: Percent <strong>of</strong> Live Births Less than 2500 grams by<br />
Trimester <strong>of</strong> Entry into Prenatal Care, <strong>Louisiana</strong>, <strong>2003</strong><br />
No Care First Second Third<br />
Trimester <strong>of</strong> entry into prenatal care<br />
Infants weighing less than 1500 grams at birth (3 lbs. 5 oz.) are considered to be very low birthweight and are at much greater<br />
risk <strong>of</strong> mortality and long-term disability than higher weight infants. Although recent medical advances have greatly reduced the<br />
risk <strong>of</strong> death for smaller infants, the risk <strong>of</strong> early death for a very low birthweight infant is about 65 times that <strong>of</strong><br />
infants who weigh at least 500 grams. (8)<br />
Of all births to <strong>Louisiana</strong> residents in <strong>2003</strong>, 2.2% <strong>of</strong> infants weighed less than 1500 grams. By comparison, 1.4% <strong>of</strong> infants<br />
born nationwide were very low birthweight. (9) As with low birthweight infants, the frequency <strong>of</strong> very low birthweight babies<br />
differed by race. Black mothers gave birth to very low birthweight infants almost three times as frequently as white mothers<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 29<br />
40 and<br />
over<br />
All Ages<br />
All Races +++ 17.5 13.0 10.8 9.4 9.8 11.2 13.9 14.1 10.7<br />
White 12.9 9.7 7.5 6.9 7.9 7.9 9.9 9.8 7.7<br />
Black 18.7 15.5 14.4 13.9 15.3 19.5 21.3 22.3 15.0<br />
+ Percent <strong>of</strong> live births in specified age and race group. +++ All Races includes White, Black and Other.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
26.3 %<br />
10.2 %<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
12.1 %<br />
10.9 %
LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
did, at 3.5% compared with 1.2%, respectively (Table 2.25).<br />
Birth<br />
Order<br />
Total<br />
Table 2.26: Number <strong>of</strong> Live Births by Live Birth Order and Birthweight<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
999<br />
and<br />
less<br />
1000-<br />
1999<br />
Table 2.25: Percent + <strong>of</strong> Live Births Less than 1500 Grams<br />
by Maternal Age and Race, <strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Age Group<br />
Race<br />
Less<br />
than 15<br />
15-19 20-24 25-29 30-34 35-39 40 -44<br />
40 and<br />
over<br />
All Ages<br />
All Races +++ 2.7 2.4 2.1 2.1 2.0 2.3 3.5 3.9 2.2<br />
White 3.2 1.2 1.1 1.2 1.3 1.3 3.6 3.9 1.2<br />
Black 2.7 3.3 3.2 3.7 4.2 5.0 3.8 4.5 3.5<br />
+ Percent <strong>of</strong> live births in specified age and race group. +++ All Races includes White, Black and Other.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
2000-<br />
2499<br />
Birthweight in Grams<br />
2500-<br />
2999<br />
3000-<br />
3499<br />
**** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Table 2.27: Number and Percent + <strong>of</strong> Live Births by Infant Birthweight, Infant Gender, and Maternal Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
White Black Other<br />
Weight in Grams<br />
All Races Male Female Male Female Male Female<br />
Number Percent Number Percent Number Percent Number Percent Number Percent Number Percent Number Percent<br />
Under 500 177 0.27 30 0.16 20 0.11 77 0.58 49 0.39 **** 0.12 0 0.00<br />
500-749 288 0.45 33 0.17 43 0.24 109 0.82 97 0.77 5 0.61 **** 0.13<br />
750-999 287 0.44 46 0.24 51 0.28 90 0.67 97 0.77 **** 0.25 **** 0.13<br />
1000-1499 647 1.00 116 0.61 115 0.63 219 1.64 183 1.44 6 0.74 8 1.02<br />
1500-1999 1305 2.02 245 1.30 296 1.63 350 2.62 389 3.07 15 1.84 10 1.27<br />
2000-2499 4211 6.51 836 4.42 1033 5.69 957 7.17 1280 10.10 47 5.77 58 7.39<br />
2500-2999 13953 21.57 2958 15.64 3825 21.07 3097 23.21 3735 29.46 139 17.08 199 25.35<br />
3000-3499 25319 39.14 7128 37.69 7542 41.54 5155 38.63 4790 37.78 356 43.73 348 44.33<br />
3500-3999 14676 22.69 5714 30.21 4207 23.17 2690 20.16 1735 13.69 193 23.71 137 17.45<br />
4000-4499 3323 5.14 1559 8.24 902 4.97 512 3.84 283 2.23 48 5.90 19 2.42<br />
4500 and over 490 0.76 244 1.29 116 0.64 87 0.65 37 0.29 **** 0.25 **** 0.51<br />
Unknown 13 0.02 **** 0.02 **** 0.02 **** 0.02 **** 0.02 0 0.00 0 0.00<br />
Total 64689 100.00 18912 100.00 18154 100.00 13346 100.00 12678 100.00 814 100.00 785 100.00<br />
+ Percents may not add to 100 due to rounding. **** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 30<br />
3500-<br />
3999<br />
4000-<br />
4499<br />
4500<br />
and<br />
over<br />
Weight<br />
Unknown<br />
Less<br />
than<br />
2500<br />
Percent<br />
<strong>of</strong> Total<br />
Live<br />
Births<br />
ALL 64689 752 1952 4211 13953 25319 14676 3323 490 13 6915 10.69<br />
1 25405 336 753 1607 5740 10084 5550 1180 152 **** 2696 10.61<br />
2 20952 202 534 1193 4200 8353 5144 1160 164 **** 1929 9.21<br />
3 11194 122 334 783 2366 4308 2543 632 105 **** 1239 11.07<br />
4 4358 51 171 343 1015 1632 892 214 39 **** 565 12.96<br />
5 1526 21 83 144 342 549 305 68 14 0 248 16.25<br />
6 648 7 36 68 152 218 131 30 6 0 111 17.13<br />
7 284 8 20 34 72 84 44 19 **** 0 62 21.83<br />
8 124 **** 8 16 30 32 25 11 **** 0 25 20.16<br />
9 68 0 5 8 16 19 12 **** **** 0 13 19.12<br />
Unk. 68 **** **** 5 11 21 17 **** 0 6 10 14.71
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
Table 2.28: Number <strong>of</strong> Live Births by Birthweight, Maternal Age, and Maternal Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Age<br />
Birthweight in Grams<br />
Group and<br />
Race<br />
Total 499 and<br />
less<br />
500-<br />
749<br />
750-<br />
999<br />
1000-<br />
1499<br />
1500-<br />
1999<br />
2000-<br />
2499<br />
2500-<br />
2999<br />
3000-<br />
3499<br />
3500-<br />
3999<br />
4000-<br />
4499<br />
4500 and Unknown<br />
over<br />
ALL +++ 64689 177 288 287 647 1305 4211 13953 25319 14676 3323 490 13<br />
Under 15 183 0 **** **** **** **** 23 49 68 28 6 0 0<br />
15-19 9452 24 44 64 96 215 782 2596 3650 1669 278 33 ****<br />
20-24 21240 67 84 88 203 431 1420 4903 8636 4383 897 121 7<br />
25-29 16716 48 86 63 148 300 929 3310 6627 4097 968 137 ****<br />
30-34 11281 22 40 49 117 211 671 2037 4271 2986 756 121 0<br />
35-39 4851 13 27 16 57 117 315 875 1737 1273 350 69 ****<br />
40-44 909 **** **** 5 20 25 69 175 309 225 65 9 0<br />
45 and older 54 0 0 **** 5 **** **** 8 21 13 **** 0 0<br />
Not Stated **** 0 0 0 0 0 0 0 0 **** **** 0 0<br />
White 37066 50 76 97 231 541 1869 6783 14670 9921 2461 360 7<br />
Under 15 31 0 **** 0 0 **** **** 5 17 **** **** 0 0<br />
15-19 3899 **** 6 11 24 65 267 925 1553 852 172 20 0<br />
20-24 10851 17 20 16 62 158 541 2181 4480 2686 611 76 ****<br />
25-29 10423 14 28 30 55 128 462 1778 4160 2924 734 107 ****<br />
30-34 7923 10 11 30 49 126 403 1230 3020 2335 610 99 0<br />
35-39 3317 **** 8 6 26 57 163 560 1218 943 282 51 ****<br />
40-44 586 **** **** **** 12 6 31 99 206 168 48 7 0<br />
45 and older 34 0 0 0 **** 0 0 5 16 9 **** 0 0<br />
Not Stated **** 0 0 0 0 0 0 0 0 **** **** 0 0<br />
Black 26024 126 206 187 402 739 2237 6832 9945 4425 795 124 6<br />
Under 15 150 0 **** **** **** **** 21 43 50 25 **** 0 0<br />
15-19 5444 20 37 53 70 149 514 1642 2041 801 103 13 ****<br />
20-24 10037 49 64 72 135 265 856 2651 4011 1613 273 44 ****<br />
25-29 5825 34 56 32 91 165 431 1433 2247 1095 213 28 0<br />
30-34 2909 12 28 18 64 83 239 708 1064 548 124 21 0<br />
35-39 1348 11 17 9 31 57 138 285 434 287 62 16 ****<br />
40-44 291 0 **** **** 8 15 36 68 93 51 15 **** 0<br />
45 and older 19 0 0 **** **** **** **** **** 5 **** **** 0 0<br />
Not Stated **** 0 0 0 0 0 0 0 0 **** 0 0 0<br />
+++ All Races includes White, Black and Other. **** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Gestational Age<br />
Gestational age is the interval between the first day <strong>of</strong> the mother’s last normal menstrual period and the date <strong>of</strong> birth.<br />
Gestational age is recorded on the birth certificate by the person attending the birth, who uses several different methods to<br />
estimate gestational age, including computing the interval between the first day <strong>of</strong> the mother’s last menstrual period (LMP) and<br />
the date <strong>of</strong> birth, or determining a clinical estimate based on examination <strong>of</strong> the newborn. Standardized methods <strong>of</strong><br />
measurement for determination <strong>of</strong> gestational age are difficult, especially among at-risk pregnancies in which minimal or no<br />
prenatal ascertainments have been made.<br />
<strong>Louisiana</strong> birth certificates record both the “Date Last Normal Menses Began” and the “Clinical Estimate <strong>of</strong> Gestation”. LMP is<br />
subject to error from imperfect maternal recall or misidentification <strong>of</strong> the last normal menstrual period because <strong>of</strong> postconception<br />
bleeding, delayed ovulation, or intervening early miscarriage. Therefore, the attendant’s clinical estimate <strong>of</strong><br />
gestation is used to determine gestational age in this report.<br />
A birth is considered preterm if the gestational age at delivery is less than 37 weeks. In <strong>2003</strong>, there were 109 infants for whom<br />
no estimate <strong>of</strong> gestational age was recorded.<br />
_____________________________________________________________________________________________________________<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 31
LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 2.29: Number and Percent <strong>of</strong> Pre-Term Live Births (Less Than 37 Weeks) by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Age Group<br />
Maternal<br />
Race<br />
Less than 20 20-24 25-29 30-34 35-39 40 & older All Ages<br />
Number Percent Number Percent Number Percent Number Percent Number Percent Number Percent Number Percent<br />
All Races +++ 1339 13.9 2615 12.3 2023 12.1 1465 13.0 676 14.0 155 16.3 8273 12.8<br />
White 456 11.6 1061 9.8 1040 10.0 897 11.3 379 11.5 82 13.4 3915 10.6<br />
Black 875 15.7 1518 15.2 935 16.1 527 18.2 267 20.0 68 22.3 4190 16.2<br />
+++ All Races includes White, Black and Other. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Multiple Births<br />
Out <strong>of</strong> 64,689 live births to <strong>Louisiana</strong> residents in <strong>2003</strong>, 62,615 (96.8%) were single deliveries, 1,950 (3.0%) were twins, 111<br />
(0.2%) were triplets, 8 were quadruplets and 5 were quintuplets.<br />
Apgar Score<br />
The Apgar score is a composite measure <strong>of</strong> the physical health <strong>of</strong> an infant shortly after birth. It is assessed at one and five<br />
minutes after birth, and is used to predict the infant’s chances <strong>of</strong> survival.<br />
Five easily identifiable characteristics – heart rate, respiratory effort, muscle tone, reflex irritability, and color – are each<br />
assessed on a scale <strong>of</strong> zero to two, with two being optimal.<br />
The Apgar score is the sum <strong>of</strong> these scores; a score <strong>of</strong> seven or higher (to a maximum <strong>of</strong> ten) indicates the infant is in good<br />
physical condition. As the five-minute score is generally considered to be a better predictor <strong>of</strong> survival, it is the score reported<br />
here. In <strong>2003</strong>, 162 births in <strong>Louisiana</strong> (0.25%) did not have a recorded five-minute Apgar score.<br />
Out <strong>of</strong> 64,689 live births, 98.34% (63,615) infants had a five-minute Apgar score <strong>of</strong> at least 7.<br />
Table 2.30: Number and Percent <strong>of</strong> Births with Five-Minute Apgar Score<br />
Below Normal by Maternal Race, <strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Race<br />
White Black Other All Races +++<br />
Number 333 559 20 912<br />
Percent 0.9 2.2 1.3 1.4<br />
+++ All Races includes White, Black and Other. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Table 2.31: Number and Percent <strong>of</strong> Births with Five-Minute Apgar Scores<br />
Below Normal by Maternal Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal Age<br />
Less than 20 20-24 25-29 30-34 35-39 40 & older All Ages<br />
Number 172 297 232 123 72 16 912<br />
Percent 1.8 1.4 1.4 1.1 1.5 1.7 1.4<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Congenital Anomalies<br />
Congenital anomalies are recorded on the birth certificate by checking any <strong>of</strong> 22 listed anomalies, or by specifying “none” or<br />
“other”. More than one anomaly can be checked on a birth certificate. Because these events occur so infrequently, rates have<br />
been calculated for categories <strong>of</strong> anomalies. In the year <strong>2003</strong>, there were 617 birth certificates with at least one congenital<br />
anomaly reported. A total <strong>of</strong> 678 congenital anomalies were reported (Table 2.33).<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 32
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
None<br />
Condition<br />
Anemia<br />
(HCT< 39/HGB < 13)<br />
Birth injury<br />
Fetal alcohol syndrome<br />
Hyaline membrane disease/<br />
Respiratory distress<br />
syndrome<br />
Meconium aspiration<br />
syndrome<br />
Assisted Ventilation less<br />
than 30 minutes<br />
Assisted Ventilation 30<br />
minutes or more<br />
Seizures<br />
Other<br />
Unknown<br />
Table 2.32: Counts 1 <strong>of</strong> Abnormal Conditions <strong>of</strong> the Newborn by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Race<br />
Total Less<br />
than<br />
15<br />
Maternal Age<br />
15 16 17 18 19 15-19 20-24 25-29 30-34 35-39 40-44<br />
45 &<br />
older Unknown<br />
All 61470 169 374 836 1600 2689 3440 8939 20223 15906 10729 4599 859 46 0<br />
White 35515 27 96 237 627 1181 1576 3717 10416 10002 7603 3165 557 28 0<br />
Black 24414 140 275 591 946 1482 1821 5115 9467 5455 2696 1253 271 17 0<br />
Other 1541 **** **** 8 27 26 43 107 340 449 430 181 31 **** 0<br />
All 26 **** 0 **** **** **** **** 5 **** 10 **** **** **** 0 0<br />
White 11 **** 0 0 0 0 **** **** **** **** **** **** **** 0 0<br />
Black 15 0 0 **** **** **** **** **** **** 6 0 **** 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 20 0 0 0 0 **** **** **** **** 9 **** **** **** 0 0<br />
White 12 0 0 0 0 0 **** **** **** 6 **** **** 0 0 0<br />
Black 8 0 0 0 0 **** **** **** **** **** **** 0 **** 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All **** 0 0 0 0 **** 0 **** **** 0 **** 0 0 0 0<br />
White **** 0 0 0 0 **** 0 **** 0 0 **** 0 0 0 0<br />
Black **** 0 0 0 0 0 0 0 **** 0 **** 0 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 278 **** **** **** 6 18 16 45 77 75 53 23 **** 0 0<br />
White 157 **** **** **** **** 7 9 21 40 48 29 15 **** 0 0<br />
Black 119 0 **** **** **** 11 7 24 36 27 23 8 **** 0 0<br />
Other **** 0 0 0 0 0 0 0 **** 0 **** 0 0 0 0<br />
All 50 0 0 0 **** **** **** 10 18 14 6 **** **** 0 0<br />
White 26 0 0 0 **** **** **** 6 8 8 **** 0 0 0 0<br />
Black 23 0 0 0 0 **** **** **** 10 5 **** **** **** 0 0<br />
Other **** 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
All 427 **** **** 9 12 11 34 67 145 94 78 36 5 **** 0<br />
White 268 0 0 **** 5 8 19 36 93 63 50 22 **** **** 0<br />
Black 148 **** **** 5 7 **** 14 30 51 28 24 12 **** 0 0<br />
Other 11 0 0 0 0 0 **** **** **** **** **** **** 0 0 0<br />
All 522 **** 5 10 13 27 23 78 161 141 98 35 **** **** 0<br />
White 252 **** **** 5 **** 12 **** 25 69 67 66 21 **** 0 0<br />
Black 266 **** **** 5 11 15 18 52 90 74 32 13 **** **** 0<br />
Other **** 0 0 0 0 0 **** **** **** 0 0 **** 0 0 0<br />
All 36 **** **** 0 0 0 **** **** 6 13 7 **** **** 0 0<br />
White 20 **** 0 0 0 0 **** **** **** 9 **** **** **** 0 0<br />
Black 16 0 **** 0 0 0 **** **** **** **** **** **** 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 2130 8 17 33 74 104 118 346 680 543 362 160 28 **** 0<br />
White 919 **** **** 7 23 31 40 103 249 261 194 92 16 **** 0<br />
Black 1170 7 15 26 51 73 77 242 424 267 153 66 11 0 0<br />
Other 41 0 0 0 0 0 **** **** 7 15 15 **** **** 0 0<br />
All 93 0 0 0 **** **** 7 13 21 14 14 18 7 **** ****<br />
White 56 0 0 0 **** **** **** 5 12 9 8 13 5 **** ****<br />
Black 35 0 0 0 **** **** 5 8 7 5 6 5 **** **** ****<br />
Other **** 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
1<br />
This is a duplicated count. More than one condition was noted on some birth certificates. **** Cells suppressed to protect confidentiality.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
_____________________________________________________________________________________________________________<br />
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LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 2.33: Counts 1 <strong>of</strong> Congenital Anomalies by Type <strong>of</strong> Anomaly and Maternal Age<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Congenital Anomaly<br />
Total<br />
Less than 15 15-19 20-24<br />
Maternal Age Group<br />
25-29 30-34 35-39 40-44 45 & older Unknown<br />
Total 678 **** 118 223 177 94 53 8 **** 0<br />
Anencephalus **** 0 **** 0 **** **** 0 **** 0 0<br />
Spina bifida / Meningocele 33 0 **** 9 7 9 **** **** 0 0<br />
Hydrocephalus 12 0 **** **** 5 **** **** **** 0 0<br />
Microcephalus **** 0 **** 0 **** 0 0 **** 0 0<br />
Other central nervous system anomalies 8 0 **** **** **** **** 0 0 0 0<br />
Heart malformations 42 0 5 14 15 5 **** 0 **** 0<br />
Other circulatory/ Respiratory anomalies 44 0 7 14 11 8 **** 0 0 0<br />
Rectal atresia / Stenosis **** 0 **** 0 0 0 0 0 0 0<br />
Tracheo esophageal fistula / Esophageal<br />
atresia<br />
**** 0 **** **** **** 0 0 0 0 0<br />
Omphalocele / Gastroschisis 12 0 **** 5 **** 0 **** 0 0 0<br />
Other gastrointestinal anomalies 9 0 **** **** **** **** **** 0 0 0<br />
Malformed genitalia 11 0 **** 5 **** **** **** 0 0 0<br />
Renal agenesis 5 0 0 **** **** 0 **** 0 0 0<br />
Other urogenital anomalies 21 0 **** **** 6 6 **** 0 0 0<br />
Cleft lip / Palate 29 0 **** 13 7 5 **** 0 0 0<br />
Polydactyly / Syndactyly / Adactyly 40 **** 8 14 11 **** **** 0 0 0<br />
Club foot 14 0 **** 5 **** **** **** 0 0 0<br />
Diaphragmatic hernia 5 0 **** **** 0 **** **** 0 0 0<br />
Other musculoskeletal / Integumental<br />
anomalies<br />
28 0 **** 10 11 **** **** **** 0 0<br />
Down's syndrome 19 0 0 5 5 **** 5 0 **** 0<br />
Other chromosomal anomalies 66 0 10 19 20 11 6 0 0 0<br />
Other congenital anomalies 268 **** 62 95 63 29 15 **** 0 0<br />
1<br />
This is a duplicated count. More than one congenital anomaly was noted on some birth certificates. 617 infants had at least one congenital anomaly.<br />
**** Cells suppressed to protect confidentiality.<br />
DELIVERY CHARACTERISTICS: MEDICAL PROCEDURES, COMPLICATIONS, AND FACILITIES<br />
Obstetric Procedures<br />
The attendant at birth records obstetric procedures on the birth certificate by checking any <strong>of</strong> 6 procedures performed, or by<br />
specifying “none” or “other”. More than one procedure can be checked on a birth certificate (Table 2.35).<br />
The number <strong>of</strong> women who have no obstetric procedure performed during delivery has decreased in recent years.<br />
Table 2.34: Number and Rates + <strong>of</strong> Obstetric Procedures by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
All Ages All Races +++<br />
All Races +++<br />
Obstetric Procedure<br />
White Black Less than 20 35 & Older<br />
Number Rate Number Rate Number Rate Number Rate Number Rate<br />
None 2707 42.6 1306 35.9 1333 52.1 396 41.5 262 46.3<br />
Electronic Fetal Monitoring 55400 871.2 32872 902.8 21181 827.2 8129 851.3 4985 880.3<br />
Ultrasound 39921 627.8 23597 648.1 15299 597.5 5770 604.3 3663 646.8<br />
Induction Of Labor 13256 208.5 8806 241.8 4142 161.8 2016 211.1 1016 179.4<br />
Stimulation Of Labor 8386 131.9 4832 132.7 3319 129.6 1404 147.0 627 110.7<br />
Tocolysis 458 7.2 257 7.1 193 7.5 70 7.3 41 7.2<br />
Amniocentesis 213 3.3 141 3.9 66 2.6 20 2.1 80 14.1<br />
Other 1490 23.4 497 13.6 951 37.1 284 29.7 113 20.0<br />
+ +++<br />
Rate per 1,000 mothers who had one or more live births during the calendar year. All races include White, Black and Other. 63674 women had at least one live<br />
birth during the calendar year. Live birth was 64,689 in <strong>2003</strong>.<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
Obstetric Procedure<br />
None<br />
Amniocentesis<br />
Electronic Fetal<br />
Monitoring<br />
Induction <strong>of</strong> Labor<br />
Stimulation <strong>of</strong> labor<br />
Tocolysis<br />
Ultrasound<br />
Other<br />
Unknown<br />
Race<br />
Table 2.35: Number + <strong>of</strong> Obstetric Procedures by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Total<br />
Less<br />
than<br />
15<br />
Maternal Age<br />
15 16 17 18 19 15 -19 20 -24 25 -29 30-34 35-39 40-44<br />
45 &<br />
Older Unk.<br />
All 2707 14 22 42 67 106 145 382 948 654 447 216 42 **** 0<br />
White 1306 **** 5 7 24 39 68 143 377 355 275 130 20 **** 0<br />
Black 1333 11 17 34 42 66 74 233 554 280 151 81 22 **** 0<br />
Other 68 0 0 **** **** **** **** 6 17 19 21 5 0 0 0<br />
All 213 0 **** **** **** 10 5 20 43 38 32 58 21 **** 0<br />
White 141 0 **** 0 0 6 **** 8 16 26 25 46 19 **** 0<br />
Black 66 0 **** **** **** **** **** 12 27 10 6 9 **** 0 0<br />
Other 6 0 0 0 0 0 0 0 0 **** **** **** 0 0 0<br />
All 55400 138 327 713 1447 2423 3081 7991 18055 14420 9811 4168 774 43 0<br />
White 32872 23 88 214 588 1085 1430 3405 9617 9268 7081 2930 521 27 0<br />
Black 21181 113 238 493 835 1316 1611 4493 8147 4757 2357 1074 225 15 0<br />
Other 1347 **** **** 6 24 22 40 93 291 395 373 164 28 **** 0<br />
All 13256 23 69 197 376 590 761 1993 4451 3533 2240 857 151 8 0<br />
White 8806 6 19 70 183 319 425 1016 2763 2547 1731 641 99 **** 0<br />
Black 4142 17 50 125 180 264 324 943 1607 902 433 188 47 5 0<br />
Other 308 0 0 **** 13 7 12 34 81 84 76 28 5 0 0<br />
All 8386 23 66 121 255 429 510 1381 2855 2124 1376 527 95 5 0<br />
White 4832 **** 20 32 105 190 218 565 1496 1347 979 379 60 **** 0<br />
Black 3319 20 46 87 143 231 286 793 1313 702 336 123 30 **** 0<br />
Other 235 0 0 **** 7 8 6 23 46 75 61 25 5 0 0<br />
All 458 **** **** 7 14 13 32 69 156 117 74 32 6 **** 0<br />
White 257 0 0 **** **** 6 15 26 74 73 53 24 5 **** 0<br />
Black 193 **** **** 6 10 7 16 42 79 42 19 8 **** **** 0<br />
Other 8 0 0 0 0 0 **** **** **** **** **** 0 0 0 0<br />
All 39921 114 219 518 1016 1692 2211 5656 12861 10489 7138 3068 568 27 0<br />
White 23597 21 60 164 408 794 997 2423 6825 6698 5100 2127 387 16 0<br />
Black 15299 92 156 350 594 884 1186 3170 5823 3497 1734 815 158 10 0<br />
Other 1025 **** **** **** 14 14 28 63 213 294 304 126 23 **** 0<br />
All 1490 8 16 33 49 83 95 276 519 370 204 90 22 **** 0<br />
White 497 0 **** **** 7 21 17 48 150 149 98 42 10 0 0<br />
Black 951 8 15 31 42 62 78 228 354 211 94 45 10 **** 0<br />
Other 42 0 0 0 0 0 0 0 15 10 12 **** **** 0 0<br />
All 86 0 0 0 **** 5 **** 10 16 17 13 18 6 **** ****<br />
White 54 0 0 0 0 **** **** **** 11 13 6 12 **** **** ****<br />
Black 31 0 0 0 **** **** **** 6 **** **** 7 6 **** **** ****<br />
Other **** 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
+ This is a duplicated count. More than one procedure was noted on some birth certificates. 63,674 women had at least one live birth during the calendar year.<br />
**** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Complications <strong>of</strong> Labor and/or Delivery<br />
Complications <strong>of</strong> labor and/or delivery are recorded on the birth certificate by checking any <strong>of</strong> 15 listed complications, or<br />
specifying “none” or “other”. More than one complication can be recorded on a birth certificate.<br />
Among the 63,674 women who had at least one live birth in <strong>2003</strong>, no complications <strong>of</strong> labor and/or delivery were recorded in<br />
48,299 cases (75.9%).<br />
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LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 2.36: Number 1 and Rates + <strong>of</strong> Complications <strong>of</strong> Labor and/or Delivery by Maternal Race and Age<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
All Ages All Races +++<br />
All Races +++<br />
Complication<br />
White Black Under 20 35 & Older<br />
Number Rate Number Rate Number Rate Number Rate Number Rate<br />
No complication noted 48299 759.7 28067 771.1 19044 743.7 6991 732.2 4301 759.8<br />
Meconium,moderate / Heavy 1715 27.0 773 21.2 894 34.9 314 32.9 134 23.7<br />
Fetal distress 1642 25.8 910 25.0 708 27.6 303 31.7 142 25.1<br />
Breech / Malpresentation 1361 21.4 870 23.9 452 17.7 154 16.1 179 31.6<br />
Cephalopelvic disproportion 877 13.8 571 15.7 286 11.2 190 19.9 60 10.6<br />
Precipitous labor (< 3 hours) 655 10.3 197 5.4 442 17.3 78 8.2 63 11.1<br />
Premature rupture <strong>of</strong> membrane 624 9.8 284 7.8 320 12.5 109 11.4 61 10.8<br />
Dysfunctional labor 490 7.7 283 7.8 202 7.9 112 11.7 36 6.4<br />
Febrile (> 100 ºF) 452 7.1 208 5.7 229 8.9 128 13.4 27 4.8<br />
Abruptio placenta 197 3.1 87 2.4 107 4.2 31 3.2 22 3.9<br />
Prolonged labor (> 20 hours) 175 2.8 111 3.0 62 2.4 36 3.8 11 1.9<br />
Cord prolapse 153 2.4 92 2.5 56 2.2 28 2.9 9 1.6<br />
Placenta previa 114 1.8 80 2.2 30 1.2 5 0.5 20 3.5<br />
Other excessive bleeding 107 1.7 60 1.6 44 1.7 20 2.1 8 1.4<br />
Anesthetic complications 37 0.6 24 0.7 13 0.5 3 0.3 7 1.2<br />
Seizures during labor 14 0.2 4 0.1 11 0.4 7 0.7 2 0.4<br />
1 This is a duplicated count. More than one procedure was noted on some birth certificates. 63,674 women had at least one live birth during the calendar year.<br />
+ Rate per 1,000 mothers who had one or more live births during the calendar year. +++ All Races includes White, Black and Other.<br />
**** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Complication<br />
No complication noted<br />
Febrile (>100 ºF)<br />
Meconium, Moderate /<br />
Heavy<br />
Premature rupture <strong>of</strong><br />
membrane (>12 hours)<br />
Abruptio Placenta<br />
Table 2.37: Counts 1 <strong>of</strong> Complications <strong>of</strong> Labor and/or Delivery by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Race<br />
Total Less<br />
than<br />
15<br />
Maternal Age<br />
15 16 17 18 19 15-19 20-24 25-29 30-34 35-39 40-44<br />
45 &<br />
older Unk.<br />
All 48299 127 283 616 1214 2041 2710 6864 15876 12657 8474 3594 672 35 0<br />
White 28067 25 74 181 482 900 1230 2867 8169 7965 6049 2513 455 24 0<br />
Black 19044 102 207 428 713 1126 1445 3919 7460 4337 2083 941 192 10 0<br />
Other 1188 0 **** 7 19 15 35 78 247 355 342 140 25 **** 0<br />
All 452 **** 11 11 24 39 39 124 146 99 58 20 **** 0 0<br />
White 208 **** **** **** 6 13 16 38 64 52 37 15 **** 0 0<br />
Black 229 **** 10 9 18 25 23 85 76 43 18 **** **** 0 0<br />
Other 15 0 0 0 0 **** 0 **** 6 **** **** **** 0 0 0<br />
All 1715 10 20 36 47 87 114 304 607 403 257 111 22 **** 0<br />
White 773 0 **** 6 7 30 41 87 244 213 157 61 11 0 0<br />
Black 894 10 17 30 39 55 71 212 348 177 89 47 10 **** 0<br />
Other 48 0 0 0 **** **** **** 5 15 13 11 **** **** 0 0<br />
All 624 **** **** 13 17 38 33 105 207 143 102 50 10 **** 0<br />
White 284 **** **** **** 6 14 13 35 91 67 53 32 **** **** 0<br />
Black 320 **** **** 12 11 24 20 70 107 72 44 17 5 **** 0<br />
Other 20 0 0 0 0 0 0 0 9 **** 5 **** **** 0 0<br />
All 197 **** **** **** **** 9 12 30 59 50 35 18 **** 0 0<br />
White 87 0 **** **** 0 **** **** 8 21 23 21 11 **** 0 0<br />
Black 107 **** **** **** **** 6 9 22 37 25 14 7 **** 0 0<br />
Other **** 0 0 0 0 0 0 0 **** **** 0 0 0 0 0<br />
Table 2.37 continues on the next page.<br />
________________________________________________________________________________________________________________<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 36
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
Table 2.37: Counts 1 <strong>of</strong> Complications <strong>of</strong> Labor and/or Delivery by Maternal Age and Race (Continued)<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Complication<br />
Placenta previa<br />
Other excessive bleeding<br />
Seizures during labor<br />
Precipitous labor (20 hours)<br />
Dysfunctional labor<br />
Breech/ Malpresentation<br />
Cephalopelvic disproportion<br />
Cord prolapse<br />
Anesthetic complications<br />
Fetal distress<br />
Race<br />
Total Less<br />
than<br />
15<br />
Maternal Age<br />
15 16 17 18 19 15-19 20-24 25-29 30-34 35-39 40-44<br />
45 &<br />
older Unk.<br />
All 114 **** 0 **** **** **** **** **** 28 26 28 17 8 **** 0<br />
White 80 0 0 **** 0 **** **** **** 18 15 23 14 6 **** 0<br />
Black 30 **** 0 0 0 0 0 0 9 11 **** **** **** **** 0<br />
Other **** 0 0 0 **** 0 0 **** **** 0 **** **** 0 0 0<br />
All 107 **** **** **** **** 5 8 19 38 29 12 7 **** 0 0<br />
White 60 0 **** **** **** **** 6 12 20 18 7 **** **** 0 0<br />
Black 44 **** 0 **** **** **** **** 7 16 11 5 **** 0 0 0<br />
Other **** 0 0 0 0 0 0 0 **** 0 0 **** 0 0 0<br />
All 14 0 0 **** 0 **** **** 7 **** **** **** 0 0 0 0<br />
White **** 0 0 0 0 **** **** **** 0 0 **** 0 0 0 0<br />
Black 11 0 0 **** 0 **** **** 5 **** **** 0 0 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 655 **** **** 9 12 23 26 74 254 168 94 50 13 0 0<br />
White 197 0 **** 0 **** 6 7 18 63 57 41 15 **** 0 0<br />
Black 442 **** **** 9 9 17 19 56 188 106 48 32 10 0 0<br />
Other 16 0 0 0 0 0 0 0 **** 5 5 **** 0 0 0<br />
All 175 0 **** 6 **** 8 15 35 55 43 31 8 **** **** 0<br />
White 111 0 0 **** **** **** 9 19 34 28 24 5 **** 0 0<br />
Black 62 0 **** **** **** **** 6 15 21 14 7 **** 0 **** 0<br />
Other **** 0 0 **** 0 0 0 **** 0 **** 0 0 0 0 0<br />
All 490 **** **** 7 19 45 37 111 177 109 53 34 5 0 0<br />
White 283 0 **** **** 7 20 17 48 98 79 34 20 **** 0 0<br />
Black 202 **** **** **** 12 25 20 63 77 27 19 14 **** 0 0<br />
Other 5 0 0 0 0 0 0 0 **** **** 0 0 0 0 0<br />
All 1361 5 6 15 26 45 57 149 369 377 284 146 30 **** 0<br />
White 870 **** **** 6 10 25 26 69 223 259 202 99 17 0 0<br />
Black 452 **** **** 9 16 20 31 80 138 112 63 41 13 **** 0<br />
Other 39 0 0 0 0 0 0 0 8 6 19 6 0 0 0<br />
All 877 5 7 15 38 50 75 185 278 196 151 53 7 **** 0<br />
White 571 **** **** **** 19 26 46 96 174 140 113 40 6 0 0<br />
Black 286 **** 6 11 19 24 29 89 101 48 31 11 **** **** 0<br />
Other 20 0 0 0 0 0 0 0 **** 8 7 **** 0 0 0<br />
All 153 0 0 **** 6 **** 15 27 52 42 25 6 **** 0 0<br />
White 92 0 0 0 **** **** 7 9 31 27 19 6 0 0 0<br />
Black 56 0 0 **** 5 **** 8 18 21 12 5 0 0 0 0<br />
Other 5 0 0 0 0 0 0 0 0 **** **** 0 **** 0 0<br />
All 37 0 0 0 0 **** **** **** 10 9 9 **** **** 0 0<br />
White 24 0 0 0 0 0 **** **** 5 9 7 **** 0 0 0<br />
Black 13 0 0 0 0 **** **** **** 5 0 **** **** **** 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 1642 6 12 29 56 88 115 300 569 378 247 124 17 **** 0<br />
White 910 **** 6 9 24 38 60 137 305 222 161 74 10 0 0<br />
Black 708 5 6 20 32 50 54 162 256 150 80 47 7 **** 0<br />
Other 24 0 0 0 0 0 **** **** 8 6 6 **** 0 0 0<br />
Table 2.37 continues on the next page.<br />
_____________________________________________________________________________________________________________<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 37
Other<br />
LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Unknown<br />
Table 2.37: Counts 1 <strong>of</strong> Complications <strong>of</strong> Labor and/or Delivery by Maternal Age and Race (Continued)<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Complication<br />
Race<br />
Total Less<br />
than<br />
15<br />
Maternal Age<br />
15 16 17 18 19 15-19 20-24 25-29 30-34 35-39 40-44<br />
45 &<br />
older Unk.<br />
All 9097 27 57 160 301 455 508 1481 2981 2249 1552 677 120 10 0<br />
White 5006 **** 13 44 110 181 234 582 1544 1359 1020 429 63 6 0<br />
Black 3846 22 43 116 184 264 265 872 1378 822 473 221 54 **** 0<br />
Other 245 **** **** 0 7 10 9 27 59 68 59 27 **** 0 0<br />
All 94 0 0 0 **** **** **** 11 21 17 13 18 8 **** ****<br />
White 64 0 0 0 **** **** **** 5 14 14 8 13 6 **** ****<br />
Black 29 0 0 0 **** **** **** 6 6 **** 5 5 **** **** ****<br />
Other **** 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
1 This is a duplicated count. More than one procedure was noted on some birth certificates.<br />
63,674 women had at least one live birth during the calendar year.<br />
**** Cells suppressed to protect confidentiality. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Method <strong>of</strong> Delivery<br />
Final data for the year <strong>2003</strong> collected by the National Center for Health <strong>Statistics</strong> report that <strong>Louisiana</strong> had the third highest rate<br />
<strong>of</strong> cesarean deliveries in the country (31.7% <strong>of</strong> all live births), following Mississippi (32.5%) and New Jersey (33.1%). (10)<br />
(Table 2.38 and Table 2.39).<br />
Table 2.38: Percent + <strong>of</strong> Live Births by Cesarean Delivery by Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Maternal<br />
Maternal Age Group<br />
Race Less than 20 20-24 25-29 30-34 35-39 40 & older All Ages<br />
All Races +++ 23.9 28.6 32.7 37.6 41.7 44.2 31.7<br />
White<br />
25.3 28.9 32.9 37.4 41.0 43.0 32.8<br />
Black 23.0 28.3 32.6 38.7 43.3 46.4 30.3<br />
+ Percents <strong>of</strong> live births in specified maternal age and race group (110 deliveries where method was not recorded are excluded).<br />
+++ All Races includes White, Black and Other. Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
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<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 38
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT LIVE BIRTHS<br />
Vaginal<br />
Method<br />
Vaginal / Forceps<br />
Vaginal / Forceps &<br />
Vacuum<br />
Vaginal / Vacuum<br />
Vaginal birth after<br />
previous C-Section<br />
Vaginal birth after<br />
previous C-Section /<br />
Forceps<br />
Vaginal birth after<br />
Previous C-Section /<br />
Vacuum<br />
Primary C-Section<br />
Repeat C-Section<br />
Unknown<br />
Table 2.39: Number 1 <strong>of</strong> Deliveries by Method <strong>of</strong> Delivery, and Maternal Age and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Race<br />
Total Less<br />
than<br />
15<br />
Maternal Age<br />
15 16 17 18 19 15-19 20-24 25-29 30-34 35-39 40-44<br />
45 &<br />
older Unk.<br />
All 40896 132 294 630 1207 1945 2502 6578 14089 10456 6558 2597 463 23 0<br />
White 22971 23 72 172 476 814 1108 2642 7124 6468 4615 1781 304 14 0<br />
Black 16898 108 219 453 713 1115 1364 3864 6721 3674 1665 715 143 8 0<br />
Other 1027 **** **** 5 18 16 30 72 244 314 278 101 16 **** 0<br />
All 984 **** **** 23 29 64 67 187 334 229 150 68 13 **** 0<br />
White 693 0 **** 8 17 39 37 103 228 180 119 52 10 **** 0<br />
Black 262 **** **** 15 8 24 28 77 95 45 27 13 **** 0 0<br />
Other 29 0 0 0 **** **** **** 7 11 **** **** **** 0 0 0<br />
All 24 0 0 0 0 **** **** 5 7 5 **** **** **** 0 0<br />
White 20 0 0 0 0 **** **** **** 6 **** **** **** **** 0 0<br />
Black **** 0 0 0 0 **** **** **** **** **** 0 0 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 1170 6 9 28 53 96 90 276 408 263 150 59 8 0 0<br />
White 691 **** **** 7 17 45 42 114 228 187 111 46 **** 0 0<br />
Black 449 **** 6 21 33 50 46 156 172 70 32 11 **** 0 0<br />
Other 30 0 0 0 **** **** **** 6 8 6 7 **** **** 0 0<br />
All 442 0 0 **** **** **** 15 23 144 143 74 44 14 0 0<br />
White 185 0 0 0 0 **** **** **** 37 58 47 29 10 0 0<br />
Black 247 0 0 **** **** **** 12 19 104 80 26 14 **** 0 0<br />
Other 10 0 0 0 0 0 0 0 **** 5 **** **** 0 0 0<br />
All 17 0 0 0 0 0 0 0 **** 8 6 **** **** 0 0<br />
White 12 0 0 0 0 0 0 0 0 6 **** **** **** 0 0<br />
Black 5 0 0 0 0 0 0 0 **** **** **** 0 0 0 0<br />
Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
All 8 0 0 0 **** 0 **** **** **** **** **** 0 0 0 0<br />
White 6 0 0 0 0 0 **** **** **** **** **** 0 0 0 0<br />
Black **** 0 0 0 **** 0 0 **** 0 0 0 0 0 0 0<br />
Other **** 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
All 11283 41 84 181 346 567 723 1901 3619 2719 1908 890 188 17 0<br />
White 6749 6 24 59 137 272 377 869 2037 1788 1350 584 107 8 0<br />
Black 4264 34 60 119 207 289 339 1014 1529 847 487 267 77 9 0<br />
Other 270 **** 0 **** **** 6 7 18 53 84 71 39 **** 0 0<br />
All 8493 0 0 6 30 98 175 309 2266 2527 2143 1047 192 9 0<br />
White 4957 0 0 **** 6 36 59 102 1027 1500 1469 719 132 8 0<br />
Black 3341 0 0 5 24 61 113 203 1212 985 597 292 51 **** 0<br />
Other 195 0 0 0 0 **** **** **** 27 42 77 36 9 0 0<br />
All 357 **** **** 8 23 35 25 95 106 63 37 37 11 **** ****<br />
White 181 0 0 **** **** 14 11 30 54 40 20 27 6 **** ****<br />
Black 166 **** **** 6 20 20 13 63 50 20 15 9 5 **** ****<br />
Other 10 0 0 0 0 **** **** **** **** **** **** **** 0 0 0<br />
**** Cells suppressed to protect confidentiality. 1 63,674 women had at least one live birth during the calendar year. Source: <strong>Louisiana</strong> State Center for Health<br />
<strong>Statistics</strong>.<br />
_____________________________________________________________________________________________________________<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 39
LIVE BIRTHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
References:<br />
(1)<br />
National Center for Health <strong>Statistics</strong>, “Infant Mortality <strong>Statistics</strong> from the 2000 Period Linked Birth/Infant Death Data Set” National <strong>Vital</strong><br />
<strong>Statistics</strong> <strong>Report</strong> (NVSR) 50:12 (Aug. 2002):22.<br />
(2)<br />
National Center for Health <strong>Statistics</strong>. ” National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> (NVSR) 54:2 (Sep 08, 2005):29. Available at:<br />
http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_02.pdf .<br />
(3)<br />
National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> (NVSR) 54:2 (Sep 08, 2005) :45. Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_02.pdf .<br />
(4)<br />
McIntire DD, Bloom SL, Casy BM, Laveno KJ. “Birth Weight in Relation to Morbidity and Mortality among Newborn<br />
Infants” New England Journal <strong>of</strong> Medicine 340:16 (Apr. 1999):1234-1238.<br />
(5)<br />
Pace B, “High- Risk Infants” Journal <strong>of</strong> the American Medical Association 284:16 (Oct. 2000):2142.<br />
(6)<br />
Waldman HB. Perlman SP, “Low Birthweight babies grow older, but there could be many problems” Journal <strong>of</strong> Dentistry for Children 68:5-6<br />
(Sep- Dec 2001) 356-359, 302.<br />
(7)<br />
Hack M, Klein NK and Talyor HG, “Long-term developmental outcomes <strong>of</strong> low birthweight infants” The Future <strong>of</strong> Children, 5 (Spring 1995);<br />
19-34.<br />
(8)<br />
National Center for Health <strong>Statistics</strong>,”<strong>Report</strong> <strong>of</strong> Final Natality <strong>Statistics</strong>, 1995” Monthly <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> 45:11 (June 1997):16.<br />
(9) National Center for Health <strong>Statistics</strong>,” Births: Final Data for <strong>2003</strong>” National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> 54:2 (Sep. 2005) :87.<br />
(10) National Center for Health <strong>Statistics</strong>,” Births: Final Data for <strong>2003</strong>” National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> 54:2 (Sep. 2005):85.<br />
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SPONTANEOUS<br />
FETAL DEATHS<br />
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INTRODUCTION<br />
SPONTANEOUS FETAL DEATHS<br />
A fetal death is the death <strong>of</strong> a human fetus that occurs prior to its expulsion or extraction from its mother, irrespective <strong>of</strong> the<br />
duration <strong>of</strong> pregnancy. In <strong>Louisiana</strong>, a spontaneous fetal death (also referred to as stillbirth) is a fetal death that meets these<br />
criteria:<br />
1. The fetus survived at least 20 weeks gestation or weighed at least 350 grams, and<br />
2. The death was not the result <strong>of</strong> an induced termination <strong>of</strong> pregnancy.<br />
Purpose <strong>of</strong> Spontaneous Fetal Death Surveillance<br />
As with infant mortality, a high rate <strong>of</strong> fetal deaths reflects unfavorable environmental influences and/or the unavailability <strong>of</strong><br />
medical care. Compared with infant mortality, however, the factors contributing to fetal deaths have been studied less, therefore<br />
limiting the understanding <strong>of</strong> their etiology. The depth and quality found in fetal death data is not as good as that <strong>of</strong> live birth<br />
data.<br />
Fetal death surveillance is important in the evaluation <strong>of</strong> adverse reproductive outcomes and in the identification <strong>of</strong> factors that<br />
result in such deaths. The goal <strong>of</strong> fetal death surveillance is the identification <strong>of</strong> high-risk populations and the development <strong>of</strong><br />
risk-reducing interventions.<br />
Source <strong>of</strong> Data: Certificate <strong>of</strong> Fetal Death (Stillbirth)<br />
Spontaneous fetal death information presented in this report is gathered from data recorded on the Certificate <strong>of</strong> Fetal Death for<br />
spontaneous fetal deaths that occurred among pregnant <strong>Louisiana</strong> residents during <strong>2003</strong>. The 1992 Revision <strong>of</strong> the Model<br />
State <strong>Vital</strong> <strong>Statistics</strong> Act and Regulations indicates that fetal deaths <strong>of</strong> at least 20 weeks gestation or 350 grams should be<br />
reported to the <strong>Vital</strong> Records Registry within 5 days <strong>of</strong> delivery, or as otherwise directed by the State Registrar. A physician or<br />
coroner in consultation with the parent(s) completes information on the fetal death certificate. (1)<br />
Death statistics are compiled in accordance with World Health Organization (WHO) regulations, which require member nations<br />
to classify causes <strong>of</strong> death according to the current revision <strong>of</strong> the International Classification <strong>of</strong> Disease, Injuries, and Causes <strong>of</strong><br />
Death (ICD). Fetal deaths that occurred in 2002 are coded in accordance with the tenth revision (ICD-10).<br />
All <strong>of</strong> the causes <strong>of</strong> death described in this report are underlying causes <strong>of</strong> death, defined as the disease or injury that initiated<br />
the sequence <strong>of</strong> events leading to death. Secondary causes <strong>of</strong> death, which are also recorded on the death certificate, are not<br />
presented in this report.<br />
The degree <strong>of</strong> registration completeness for spontaneous fetal deaths is unknown, but some under-registration is likely,<br />
especially for fetal deaths near 20 weeks gestation or less than 500 grams weight at delivery. However, reporting is believed to<br />
be relatively complete and more reliable for fetal deaths at a gestation <strong>of</strong> 28 weeks or more.<br />
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FETAL DEATH COUNTS AND RATES<br />
In <strong>2003</strong>, 541 fetal deaths were reported to the <strong>Vital</strong> Records Registry, with 514 <strong>of</strong> these deaths meeting <strong>Louisiana</strong>’s definition (2)<br />
<strong>of</strong> a spontaneous fetal death (i.e., the fetus survived at least 20 weeks gestation or weighed at least 350 grams).<br />
Twenty-seven fetal deaths that failed to meet these criteria have been excluded from analysis. They are included, however, in<br />
Table 3.8: Causes <strong>of</strong> Fetal Deaths (page 53) and in the parish and region tables 19-A and 19-B on the web.<br />
<strong>Louisiana</strong>’s <strong>2003</strong> fetal mortality rate was 7.9 fetal deaths per 1,000 live births plus fetal deaths (Figure 3.1, Table 3.1).<br />
Gestational ages reported for <strong>Louisiana</strong> fetal deaths occurring in 1995 or later are derived by using the National Center for<br />
Health <strong>Statistics</strong>’ (NCHS’ s) formula for the calculation <strong>of</strong> gestational age. This formula calculates gestational age by combining<br />
information collected in the “Date Last Normal Menses Began” and “Clinical Estimate <strong>of</strong> Gestation” sections <strong>of</strong> the <strong>Louisiana</strong><br />
Certificate <strong>of</strong> Fetal Death (Stillbirth). It also takes into account the fetal birthweight relative to gestational age. (3) Prior to 1995,<br />
“Clinical Estimate <strong>of</strong> Gestation” was not recorded on <strong>Louisiana</strong>’s fetal death certificates. Therefore, gestational ages reported<br />
for the years prior to 1995 are calculated by subtracting the “Date Last Normal Menses Began” from the “Date <strong>of</strong> Delivery”, as<br />
recorded on the certificates. NCHS reports national fetal death information and uses only gestational age at least 20 weeks in<br />
its definition <strong>of</strong> fetal death. To facilitate comparison between <strong>Louisiana</strong> and the United States, fetal death data based on the<br />
NCHS definition are used in all <strong>Louisiana</strong> and United States data presentations.<br />
Number <strong>of</strong> Fetal Deaths<br />
600<br />
550<br />
500<br />
450<br />
400<br />
Figure 3.1: Fetal Death Counts and Mortality Rates<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
1994 1995 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
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16.0<br />
12.0<br />
(Fetal death defined as gestational age >=20 weeks or birthweight>=350 grams)<br />
8.0<br />
4.0<br />
0.0<br />
Rate per 1,000 Live Births Plus<br />
Fetal Deaths<br />
Number<br />
Rate
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT FETAL DEATHS<br />
MATERNAL PROFILE<br />
Race and Age <strong>of</strong> Mother<br />
Table 3.1 Number and Rates <strong>of</strong> Fetal Deaths<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
Year Number Rate +<br />
1994 564 8.2<br />
1995 510 7.7<br />
1996 547 8.3<br />
1997 509 7.7<br />
1998 495 7.4<br />
1999 521 7.7<br />
2000 487 7.1<br />
2001 510 7.8<br />
2002 512 7.8<br />
<strong>2003</strong> 514 7.9<br />
+ Rate per 1,000 live births plus fetal deaths. Fetal death defined as gestational<br />
age >= 20 weeks or birthweight >=350 grams)<br />
Table 3.2 Fetal Mortality Rates<br />
<strong>Louisiana</strong> and United States, 1994-<strong>2003</strong><br />
Year <strong>Louisiana</strong> + United States<br />
1994 7.9 7.0<br />
1995 7.4 7.0<br />
1996 8.0 6.9<br />
1997 7.5 6.8<br />
1998 7.1 6.7<br />
1999 7.5 6.7<br />
2000 6.9 6.6<br />
2001 7.6 6.5<br />
2002 7.7 6.4<br />
<strong>2003</strong> 7.1 6.2<br />
+ Fetal death defined as (United States standards) gestational age >= 20 weeks.<br />
Note: <strong>Louisiana</strong> rates in this table will differ from those mentioned elsewhere in this section,<br />
since fetal death is defined here by United States standards, rather than <strong>Louisiana</strong> standards<br />
(gestational age >= 20 weeks or birthweight >=350 grams), in order to allow for comparison with<br />
the national rates.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong><br />
As with the overall fetal mortality rate, rates <strong>of</strong> fetal deaths by race in <strong>Louisiana</strong> have changed little over the past decade. Rates<br />
among blacks in the state have been consistently higher than those for whites from 1992 to <strong>2003</strong> but have been lower than<br />
corresponding national rates during the same period (Table 3.3 and 3.4).<br />
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Year<br />
Table 3.3 Fetal Mortality Rates + by Maternal Race<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
All Races +++ White Black<br />
Number Rate Number Rate Number Rate<br />
1994 564 8.2 223 5.9 336 11.6<br />
1995 510 7.7 215 5.7 286 10.6<br />
1996 547 8.3 236 6.3 300 11.2<br />
1997 509 7.7 220 5.8 276 10.1<br />
1998 495 7.4 203 5.3 269 9.7<br />
1999 521 7.7 215 5.6 288 10.5<br />
2000 487 7.1 217 5.7 263 9.2<br />
2001 510 7.8 211 5.7 288 10.6<br />
2002 512 7.8 209 5.7 296 11.0<br />
<strong>2003</strong> 514 7.9 209 5.6 296 11.2<br />
+ Rate per 1,000 live births plus fetal deaths in race group.<br />
Fetal death defined as gestational age >=20 weeks or birthweight >=350 grams<br />
+++ All Races includes white, black, other and unknown<br />
Rates for whites in <strong>Louisiana</strong> during the past ten years have mirrored closely the corresponding national rates. Because <strong>of</strong><br />
differences between state and national distributions <strong>of</strong> race, <strong>Louisiana</strong>’s overall rates have been slightly higher than overall<br />
national rates during the past decade (Table 3.4).<br />
Year<br />
Table 3.4 Fetal Mortality Rates by Maternal Race<br />
<strong>Louisiana</strong> and United States, 1994-<strong>2003</strong><br />
<strong>Louisiana</strong> United States<br />
All Races +++ White Black All Races +++ White Black<br />
1994 7.9 5.6 11.0 7.0 6.0 12.5<br />
1995 7.4 5.5 10.2 7.0 5.9 12.7<br />
1996 8.0 6.2 10.8 6.9 5.9 12.5<br />
1997 7.5 5.8 9.8 6.8 5.8 12.5<br />
1998 7.1 5.2 9.4 6.7 5.7 12.3<br />
1999 7.5 5.4 10.2 6.7 5.7 12.6<br />
2000 6.9 5.5 9.0 6.6 5.6 12.4<br />
2001 7.6 5.6 10.2 6.5 5.5 12.1<br />
2002 7.7 5.5 10.9 6.4 5.5 11.9<br />
<strong>2003</strong> 7.9 5.6 11.2 6.2 4.9 11.6<br />
+ Rate per 1,000 live births plus fetal deaths. Fetal death defined as gestational age >=20 weeks.<br />
+++ All Races includes white, black, other and unknown<br />
Note: <strong>Louisiana</strong> rates in this table will differ from those listed in Table 3.2, given that fetal<br />
death is defined here by United States standards, rather than <strong>Louisiana</strong> standards.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong><br />
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Prenatal Care<br />
Race<br />
Table 3.5 Fetal Mortality Counts and Rates + by Maternal Race and Age<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Less than 20 20-24 25-29 30-34 35 & Older All Ages<br />
Num. Rate Num. Rate Num. Rate Num. Rate Num. Rate Num. Rate<br />
All Races +++ 98 10.1 144 6.7 111 6.6 87 7.7 65 11.1 514 7.9<br />
White 25 6.3 54 5.0 50 4.8 44 5.5 31 7.8 209 5.6<br />
Black 73 12.9 89 8.8 57 9.7 41 13.9 32 18.9 296 11.2<br />
+ Rate per 1,000 live births plus fetal deaths. Fetal death defined as gestational age >=20 weeks or birthweight >=350 grams.<br />
+++ All Races includes white, black, other and unknown. All Ages contains age unknown.<br />
Prenatal care is recognized as an important means <strong>of</strong> identifying women at high risk <strong>of</strong> adverse pregnancy outcomes, such as<br />
infant mortality and low birthweight, and providing appropriate medical, nutritional, and educational interventions to reduce their<br />
risk. Assessing the role <strong>of</strong> prenatal care in fetal mortality, however, is complicated by differences among women with regard to<br />
health and behavior, trimester <strong>of</strong> entry into prenatal care, and opportunity to obtain prenatal care because <strong>of</strong> shortened length <strong>of</strong><br />
pregnancy. Furthermore, fetal death certificates include limited information on prenatal care and do not assess the quality <strong>of</strong><br />
such care.<br />
For the purpose <strong>of</strong> this report, “no prenatal care” is defined as reporting no prenatal visits during the pregnancy. “Any prenatal<br />
care” refers to live births for which the mother had at least one prenatal care visit (Table 3.6).<br />
Table 3.6 Number and Rates + <strong>of</strong> Fetal Deaths by Prenatal Care Status and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Race<br />
No Care Any Care<br />
Number Rate Number Rate<br />
All Races +++ 44 47.4 432 6.7<br />
White -- -- 187 5.1<br />
Black 34 48.9 237 9.3<br />
+ Rate <strong>of</strong> occurrence per 1,000 live births plus fetal deaths in specified group.<br />
+++ All Races includes white, black, other and unknown.<br />
**** Cell suppressed to protect confidentiality.<br />
“--“ Indicates rate is unstable due to small number (= 20 weeks or birthweight >= 350 grams<br />
Review <strong>of</strong> fetal deaths in the year <strong>2003</strong> with regard to prenatal care by race and age resulted in counts smaller than 20, which<br />
are not sufficient to calculate stable rates.<br />
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Medical Risk Factors for Complications <strong>of</strong> Pregnancy<br />
In 1994, <strong>Louisiana</strong> began collecting information describing medical risk factors for complications <strong>of</strong> pregnancy. Because<br />
reporting <strong>of</strong> medical conditions is believed to be incomplete for fetal deaths, caution should be exercised when evaluating these<br />
data.<br />
Of the 514 fetal deaths reported in the year <strong>2003</strong>, 242 (47.1%) reported no medical risk factors. Sixteen percent <strong>of</strong> pregnancies<br />
terminating in fetal death was associated with risk factors which were not pre-defined by the categories presented in this report<br />
(Table 3.7).<br />
Tobacco and Alcohol Use during Pregnancy<br />
At the time <strong>of</strong> delivery, women report on tobacco and alcohol use during the pregnancy. Although this information is derived<br />
from the fetal death certificate, it should be evaluated with caution because it is subject to error from inaccurate maternal recall.<br />
Additionally, both tobacco and alcohol usage are dichotomous categories which do not account for different levels <strong>of</strong> usage.<br />
As examination <strong>of</strong> tobacco and alcohol use for <strong>2003</strong> resulted in small counts (less than 20), so data were not sufficient to<br />
calculate stable rates.<br />
CAUSE OF FETAL DEATH<br />
Table 3.7 Number <strong>of</strong> Fetal Deaths by Medical Risk Factors<br />
for Complications <strong>of</strong> Pregnancy and Maternal Race, <strong>Louisiana</strong> , <strong>2003</strong><br />
Medical Risk Factor for Complications <strong>of</strong> Pregnancy<br />
All Races +++<br />
White Black<br />
No Medical Risk Factor Noted 242 111 125<br />
Anemia (Hct =20 weeks or birthweight >=350grams<br />
+++ All Races includes white, black, other and unknown. **** Cell suppressed to protect confidentiality.<br />
Given that several factors may contribute to fetal deaths, cause-<strong>of</strong>-death analyses are important for examining preventable risks.<br />
One major limitation <strong>of</strong> using the cause-<strong>of</strong>-death data from fetal death certificates is that many fetuses that die are not autopsied<br />
or otherwise evaluated, resulting in implausible or misclassified causes <strong>of</strong> death. Evaluations <strong>of</strong> fetuses also tend to report<br />
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cause <strong>of</strong> death in such a way that the fetus falls in a “catch-all” or non-specific category that prohibits in-depth analysis. For<br />
instance, 26.6% <strong>of</strong> the 541 fetal deaths reported in <strong>Louisiana</strong> in <strong>2003</strong> were classified under “Other conditions originating in the<br />
perinatal period.” Around 26.2% <strong>of</strong> the fetal deaths were classified under “Fetal death <strong>of</strong> unspecified cause”.<br />
Fetal deaths described in this section include all fetal deaths reported to the <strong>Vital</strong> Records Registry in <strong>2003</strong>, regardless <strong>of</strong><br />
gestational age or birthweight.<br />
The leading cause <strong>of</strong> fetal death was “Certain conditions originating in the perinatal period”, the most frequent <strong>of</strong> these being<br />
“fetus affected by complications <strong>of</strong> placenta, cord and membranes”.<br />
Table 3.8 summarizes all fetal deaths reported to <strong>Louisiana</strong> in <strong>2003</strong> by cause, maternal age, and maternal race.<br />
Table 3.8 Number and Ratio + <strong>of</strong> <strong>Report</strong>ed Fetal Deaths by Selected Causes <strong>of</strong> Death and Race <strong>of</strong><br />
Mother, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death<br />
ICD-10 Code<br />
Race Ratio + All<br />
All causes ALL 836.3 541<br />
WHITE 609.7 226<br />
BLACK 1172 305<br />
OTHER 625.4 10<br />
Certain infectious and parasitic diseases (A00-B99) ALL 1.5 ****<br />
WHITE 0 0<br />
BLACK 3.8 ****<br />
OTHER 0 0<br />
Congenital syphilis (A50) ALL 1.5 ****<br />
WHITE 0 0<br />
BLACK 3.8 ****<br />
OTHER 0 0<br />
In situ neoplasms, benign neoplasms and neoplasms <strong>of</strong> uncertain or ALL 3.1 ****<br />
unknown behavior (D00-D48) WHITE 5.4 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Certain conditions originating in the perinatal period (P00-P96) ALL 763.7 494<br />
WHITE 539.6 200<br />
BLACK 1099 286<br />
OTHER 500.3 8<br />
Fetus affected by maternal conditions that may be unrelated to present ALL 41.7 27<br />
pregnancy (P00) WHITE 16.2 6<br />
BLACK 80.7 21<br />
OTHER 0 0<br />
Fetus affected by maternal hypertensive disorders (P00.0) ALL 35.6 23<br />
WHITE 10.8 ****<br />
BLACK 73 19<br />
OTHER 0 0<br />
Fetus affected by maternal renal and urinary tract diseases (P00.1) ALL 1.5 ****<br />
WHITE 0 0<br />
BLACK 3.8 ****<br />
OTHER 0 0<br />
Fetus affected by maternal injury (P00.5) ALL 3.1 ****<br />
WHITE 2.7 ****<br />
BLACK 3.8 ****<br />
Table 3.8 continues on the next page.<br />
OTHER 0 0<br />
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Table 3.8 Number and Ratio + <strong>of</strong> <strong>Report</strong>ed Fetal Deaths by Selected Causes <strong>of</strong> Death and Race <strong>of</strong><br />
Mother, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death<br />
ICD-10 Code<br />
Race Ratio + All<br />
Fetus affected by other medical procedures and maternal conditions ALL 1.5 ****<br />
(P00.7-P00.8) WHITE 2.7 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Fetus affected by maternal complications <strong>of</strong> pregnancy (P01) ALL 115.9 75<br />
WHITE 72.8 27<br />
BLACK 184.4 48<br />
OTHER 0 0<br />
Fetus affected by incompetent cervix (P01.0) ALL 23.2 15<br />
WHITE 5.4 ****<br />
BLACK 50 13<br />
OTHER 0 0<br />
Fetus affected by premature rupture <strong>of</strong> membranes (P01.1) ALL 75.7 49<br />
WHITE 59.4 22<br />
BLACK 103.8 27<br />
OTHER 0 0<br />
Fetus affected by oligohydramnios (P01.2) ALL 1.5 ****<br />
WHITE 2.7 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Fetus affected by multiple pregnancy (P01.5) ALL 4.6 ****<br />
WHITE 0 0<br />
BLACK 11.5 ****<br />
OTHER 0 0<br />
Fetus affected by other and unspecified maternal complications <strong>of</strong> ALL 10.8 7<br />
pregnancy (P01.8-P01.9) WHITE 5.4 ****<br />
BLACK 19.2 5<br />
OTHER 0 0<br />
Fetus affected by complications <strong>of</strong> placenta, cord and membranes (P02) ALL 233.4 151<br />
WHITE 210.4 78<br />
BLACK 269 70<br />
OTHER 187.6 ****<br />
Fetus affected by other forms <strong>of</strong> placental separation and hemorrhage ALL 86.6 56<br />
(P02.1) WHITE 75.5 28<br />
BLACK 103.8 27<br />
OTHER 62.5 ****<br />
Fetus affected by other and unspecified morphological and functional ALL 21.6 14<br />
abnormalities <strong>of</strong> placenta (P02.2) WHITE 27 10<br />
BLACK 15.4 ****<br />
OTHER 0 0<br />
Fetus affected by placental transfusion syndromes (P02.3) ALL 9.3 6<br />
WHITE 10.8 ****<br />
BLACK 0 0<br />
OTHER 125.1 ****<br />
Fetus affected by prolapsed cord (P02.4) ALL 1.5 ****<br />
WHITE 2.7 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Fetus affected by other compression <strong>of</strong> umbilical cord (P02.5) ALL 54.1 35<br />
WHITE 56.7 21<br />
BLACK 53.8 14<br />
OTHER 0 0<br />
Fetus affected by other and unspecified conditions <strong>of</strong> umbilical cord ALL 23.2 15<br />
(P02.6) WHITE 24.3 9<br />
BLACK 23.1 6<br />
OTHER 0 0<br />
Table 3.8 continues on the next page.<br />
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Table 3.8 Number and Ratio + <strong>of</strong> <strong>Report</strong>ed Fetal Deaths by Selected Causes <strong>of</strong> Death and Race <strong>of</strong><br />
Mother, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death<br />
ICD-10 Code<br />
Race Ratio + All<br />
Fetus affected by chorioamnionitis (P02.7) ALL 37.1 24<br />
WHITE 13.5 5<br />
BLACK 73 19<br />
OTHER 0 0<br />
Fetus affected by noxious influences transmitted via placenta (P04) ALL 10.8 7<br />
WHITE 0 0<br />
BLACK 26.9 7<br />
OTHER 0 0<br />
Slow fetal growth and fetal malnutrition (P05) ALL 1.5 ****<br />
WHITE 0 0<br />
BLACK 3.8 ****<br />
OTHER 0 0<br />
Disorders related to short gestation and low birth weight, not elsewhere ALL 85 55<br />
classified (P07) WHITE 40.5 15<br />
BLACK 153.7 40<br />
OTHER 0 0<br />
Extremely low birth weight or extreme immaturity (P07.0,P07.2) ALL 37.1 24<br />
WHITE 16.2 6<br />
BLACK 69.2 18<br />
OTHER 0 0<br />
Other low birth weight and preterm (P07.1,P07.3) ALL 47.9 31<br />
WHITE 24.3 9<br />
BLACK 84.5 22<br />
OTHER 0 0<br />
Intrauterine hypoxia and birth asphyxia (P20-P21) ALL 3.1 ****<br />
WHITE 5.4 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Intrauterine hypoxia, unspecified (P20.9) ALL 3.1 ****<br />
WHITE 5.4 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Infections specific to the perinatal period (P35-P39) ALL 12.4 8<br />
WHITE 8.1 ****<br />
BLACK 19.2 5<br />
OTHER 0 0<br />
Congenital viral hepatitis (P35.3) ALL 1.5 ****<br />
WHITE 0 0<br />
BLACK 3.8 ****<br />
OTHER 0 0<br />
Bacterial sepsis (P36) ALL 3.1 ****<br />
WHITE 5.4 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Other infections specific to the perinatal period (P35.8-P35.9,P37.2- ALL 7.7 5<br />
P37.9,P38-P39) WHITE 2.7 ****<br />
BLACK 15.4 ****<br />
OTHER 0 0<br />
Transitory endocrine and metabolic disorders specific to fetus (P70-P74) ALL 7.7 5<br />
WHITE 5.4 ****<br />
BLACK 7.7 ****<br />
OTHER 62.5 ****<br />
Syndrome <strong>of</strong> infant <strong>of</strong> a diabetic mother and neonatal diabetes mellitus ALL 7.7 5<br />
(P70.0-P70.2) WHITE 5.4 ****<br />
BLACK 7.7 ****<br />
OTHER 62.5 ****<br />
Table 3.8 continues on the next page.<br />
____________________________________________________________________________________________________<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 51
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT FETAL DEATHS<br />
Table 3.8 Number and Ratio + <strong>of</strong> <strong>Report</strong>ed Fetal Deaths by Selected Causes <strong>of</strong> Death and Race <strong>of</strong><br />
Mother, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death<br />
ICD-10 Code<br />
Race Ratio + All<br />
Other conditions originating in the perinatal period (P80-P96) ALL 222.6 144<br />
WHITE 161.9 60<br />
BLACK 307.4 80<br />
OTHER 250.2 ****<br />
Hydrops fetalis not due to hemolytic disease (P83.2) ALL 3.1 ****<br />
WHITE 5.4 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Fetal death <strong>of</strong> unspecified cause (P95) ALL 219.5 142<br />
WHITE 156.5 58<br />
BLACK 307.4 80<br />
OTHER 250.2 ****<br />
Congenital malformations, deformations and chromosomal abnormalities ALL 68 44<br />
(Q00-Q99) WHITE 64.7 24<br />
BLACK 69.2 18<br />
OTHER 125.1 ****<br />
Congenital malformations <strong>of</strong> nervous system (Q00-Q07) ALL 13.9 9<br />
WHITE 16.2 6<br />
BLACK 11.5 ****<br />
OTHER 0 0<br />
Anencephaly and similar malformations (Q00) ALL 13.9 9<br />
WHITE 16.2 6<br />
BLACK 11.5 ****<br />
OTHER 0 0<br />
Congenital malformations <strong>of</strong> heart (Q20-Q24) ALL 4.6 ****<br />
WHITE 2.7 ****<br />
BLACK 3.8 ****<br />
OTHER 62.5 ****<br />
Congenital malformations <strong>of</strong> urinary system (Q60-Q64) ALL 1.5 ****<br />
WHITE 2.7 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Cystic kidney disease (Q61) ALL 1.5 ****<br />
WHITE 2.7 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Congenital malformations and deformations <strong>of</strong> musculoskeletal system, ALL 1.5 ****<br />
limbs and integument (Q65-Q85) WHITE 0 0<br />
BLACK 3.8 ****<br />
OTHER 0 0<br />
Other congenital malformations (Q86-Q89) ALL 26.3 17<br />
WHITE 16.2 6<br />
BLACK 38.4 10<br />
OTHER 62.5 ****<br />
Multiple congenital malformations, not elsewhere classified (Q89.7) ALL 24.7 16<br />
WHITE 13.5 5<br />
BLACK 38.4 10<br />
OTHER 62.5 ****<br />
All other congenital malformations (Q86-Q87,Q89.0-Q89.3,Q89.8-Q89.9) ALL 1.5 ****<br />
WHITE 2.7 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Chromosomal abnormalities, not elsewhere classified (Q90-Q99) ALL 20.1 13<br />
WHITE 27 10<br />
BLACK 11.5 ****<br />
OTHER 0 0<br />
Table 3.8 continues on the next page.<br />
____________________________________________________________________________________________________<br />
Page 52 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT FETAL DEATHS<br />
Table 3.8 Number and Ratio + <strong>of</strong> <strong>Report</strong>ed Fetal Deaths by Selected Causes <strong>of</strong> Death and Race <strong>of</strong><br />
Mother, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death<br />
ICD-10 Code<br />
Race Ratio + All<br />
Down's syndrome (Q90) ALL 1.5 ****<br />
WHITE 0 0<br />
BLACK 3.8 ****<br />
OTHER 0 0<br />
Edward's syndrome (Q91.0-Q91.3) ALL 4.6 ****<br />
WHITE 2.7 ****<br />
BLACK 7.7 ****<br />
OTHER 0 0<br />
Patau's syndrome (Q91.4-Q91.7) ALL 3.1 ****<br />
WHITE 5.4 ****<br />
BLACK 0 0<br />
OTHER 0 0<br />
Other chromosomal abnormalities, not elsewhere classified (Q92-Q99) ALL 10.8 7<br />
WHITE 18.9 7<br />
BLACK 0 0<br />
OTHER 0 0<br />
+Ratio per 100,000 live births.<br />
**** **** Cell suppressed to protect confidentiality.<br />
Note: Not all selected causes <strong>of</strong> death are listed in Table 3.8 as some did not contain any counts.<br />
The complete list <strong>of</strong> selected causes for Table 3.8 may be found in the “Technical Notes Section”.<br />
References:<br />
(1) National Center for Health <strong>Statistics</strong>, Model State <strong>Vital</strong> <strong>Statistics</strong> Act and Regulations (1992 Revision):8.<br />
(2)<br />
National Center for Health <strong>Statistics</strong>, “State definitions and reporting requirements for live births, fetal deaths and induced terminations <strong>of</strong><br />
pregnancy”(1997 Revision):28.<br />
(3) National Center for Health <strong>Statistics</strong>, “Instruction Manual Part 12” (1993):33-35.<br />
____________________________________________________________________________________________________<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 53
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT FETAL DEATHS<br />
____________________________________________________________________________________________________<br />
Page 54 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INDUCED TERMINATIONS<br />
INDUCED TERMINATIONS<br />
OF PREGNANCY<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 55
INDUCED TERMINATIONS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Page 56 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INDUCED TERMINATIONS<br />
INTRODUCTION<br />
Purpose <strong>of</strong> Induced Termination <strong>of</strong> Pregnancy Surveillance<br />
INDUCED TERMINATIONS OF PREGNANCY<br />
An induced termination (abortion) is the intentional interruption <strong>of</strong> a pregnancy with the objective <strong>of</strong> preventing a live birth.<br />
Abortion surveillance provides information that is useful in identifying population groups experiencing unintended pregnancies,<br />
and in targeting pregnancy prevention programs.<br />
Source <strong>of</strong> Data: <strong>Report</strong> <strong>of</strong> Induced Termination <strong>of</strong> Pregnancy<br />
Induced termination information presented in this report is gathered from data recorded on the <strong>Report</strong> <strong>of</strong> Induced Termination <strong>of</strong><br />
Pregnancy forms that were filed for abortions performed in <strong>Louisiana</strong> in the <strong>2003</strong> calendar year. State law requires that the<br />
attending physician report each induced termination <strong>of</strong> pregnancy he/she performs to the <strong>Vital</strong> Records Registry in New Orleans<br />
within 15 days <strong>of</strong> the procedure.<br />
No accurate counts <strong>of</strong> the number <strong>of</strong> terminations among <strong>Louisiana</strong> residents are available. Counts used in this chapter<br />
represent terminations that occurred in <strong>Louisiana</strong>, and include out-<strong>of</strong>-state residents who obtained induced terminations in<br />
<strong>Louisiana</strong>.<br />
Induced Termination Counts<br />
There were 10,642 induced terminations <strong>of</strong> pregnancy reported in <strong>Louisiana</strong> in <strong>2003</strong>. The age group encompassing women 20-<br />
24 years is historically the group with the highest number <strong>of</strong> abortions; in <strong>2003</strong>, women in this age group accounted for more<br />
than one-third (36.6%) <strong>of</strong> all abortions (Table 4.1).<br />
Table 4.1 Counts <strong>of</strong> Induced Terminations <strong>of</strong> Pregnancy by Age Group<br />
Occurring in <strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
Age Groups in Years<br />
Year Total Under 15 15-19 20-24 25-29 30-34 35-39 40-44 45 & Older Unknown<br />
1994 12154 169 2500 4215 2505 1517 929 257 17 45<br />
1995 11491 141 2333 3895 2428 1468 936 226 11 53<br />
1996 11884 143 2489 4083 2553 1417 876 262 16 45<br />
1997 11739 147 2285 4087 2650 1375 849 265 22 59<br />
1998 11351 120 2238 3818 2538 1386 829 262 13 147<br />
1999 12008 103 2234 4253 2761 1435 903 236 13 70<br />
2000 11384 115 2045 4133 2618 1364 800 238 7 64<br />
2001 10932 85 1868 4001 2611 1378 700 238 13 38<br />
2002 10451 97 1765 3794 2430 1325 728 224 18 70<br />
<strong>2003</strong> 10642 103 1767 3899 2475 1356 692 266 12 72<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
An early abortion is performed at or before 8 weeks gestation, while a late abortion is performed at or after 16 weeks<br />
gestation. In <strong>2003</strong>, there were 5,358 early abortions reported in <strong>Louisiana</strong>, which accounted for 50.3% <strong>of</strong> all abortions reported.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 57
INDUCED TERMINATIONS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
The 879 reported late abortions comprised 8.3% <strong>of</strong> the total reported (Table 4.3). Younger women (under age 20 years) were<br />
more likely to obtain late abortions than older women (over 20 years) were. (Figure 4.1 and Table 4.3).<br />
Percent <strong>of</strong><br />
reported abortions<br />
60.0<br />
50.0<br />
40.0<br />
30.0<br />
20.0<br />
10.0<br />
0.0<br />
Figure 4.1: Percent <strong>of</strong> Women Obtaining Early* or Late** Abortions<br />
by Age Group, Occurring in <strong>Louisiana</strong>, <strong>2003</strong><br />
32.0<br />
14.6<br />
44.1<br />
10.9<br />
49.2<br />
9.2<br />
Page 58 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong><br />
51.5<br />
6.7<br />
55.2<br />
6.3<br />
57.5<br />
< 15 15-19 20-24 25-29 30-34 >=35<br />
Age Group in Years<br />
* Early abortion: performed at or before 8 weeks gestation<br />
** Late abortion: performed at or after 16 weeks gestation<br />
The suction procedure was used in 87.8% <strong>of</strong> reported abortions in <strong>Louisiana</strong> in <strong>2003</strong> (Table 4.2).<br />
Table 4.2 Induced Terminations <strong>of</strong> Pregnancy by Weeks <strong>of</strong> Gestation and<br />
Type <strong>of</strong> Procedure, Occurring in <strong>Louisiana</strong>, <strong>2003</strong><br />
5.7<br />
Early<br />
Late<br />
Curettage<br />
Weeks <strong>of</strong><br />
Dilation and<br />
Gestation Total Suction Sharp Hysterectomy Evacuation Other Unknown<br />
All 10642 9347 15 **** 337 791 150<br />
8 & under 5358 4506 7 0 31 731 83<br />
9 1172 1143 **** 0 12 0 16<br />
10 944 921 **** 0 5 **** 16<br />
11 670 658 **** 0 **** 0 8<br />
12 465 447 **** 0 8 **** 6<br />
13 488 479 0 0 **** **** ****<br />
14 280 269 0 0 6 **** ****<br />
15 228 224 **** 0 **** 0 ****<br />
16 165 118 0 **** 43 0 ****<br />
17 118 85 0 0 31 **** 0<br />
18 97 54 0 0 38 **** ****<br />
19 125 74 0 0 49 0 ****<br />
20 99 71 0 0 25 **** ****<br />
21 & over 275 187 0 **** 81 **** ****<br />
Unknown 158 111 0 0 **** 43 ****<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>. **** Count is greater than 0 and less than 5.<br />
Some procedures, including Intrauterine Instillation (Saline, Prostaglandin) and Hysterotomy were not included in the<br />
table as their count was 0.
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INDUCED TERMINATIONS<br />
Table 4.3 Number <strong>of</strong> Induced Terminations <strong>of</strong> Pregnancy by Weeks <strong>of</strong> Gestation, Age, Race, and Marital Status<br />
Occurring in <strong>Louisiana</strong>, <strong>2003</strong><br />
Age Groups in Years Marital Status<br />
Weeks <strong>of</strong> Under 15- 20- 25- 30- 35- 40- 45 &<br />
Gestation Race Total 15 19 24 29 34 39 44 Older Unk. Married Unmarried Unknown<br />
All All 10642 103 1767 3899 2475 1356 692 266 12 72 683 4513 5446<br />
White 4316 35 753 1560 900 575 334 132 **** 23 375 2060 1881<br />
Black & Other 5623 61 882 2086 1431 695 313 108 7 40 228 1985 3410<br />
Unknown 703 7 132 253 144 86 45 26 **** 9 80 468 155<br />
8 & Under All 5358 33 780 1920 1275 749 382 170 6 43 379 2258 2721<br />
White 2333 10 377 840 476 320 196 94 **** 17 212 1104 1017<br />
Black & Other 2759 23 369 986 739 386 167 65 **** 22 129 1000 1630<br />
Unknown 266 0 34 94 60 43 19 11 **** **** 38 154 74<br />
9 All 1172 9 191 386 292 169 94 24 **** **** 79 518 575<br />
White 484 **** 91 151 107 81 41 10 0 0 47 253 184<br />
Black & Other 599 6 81 210 162 76 44 14 **** **** 19 203 377<br />
Unknown 89 0 19 25 23 12 9 0 0 **** 13 62 14<br />
10 All 944 11 153 382 211 104 62 17 0 **** 60 432 452<br />
White 329 5 60 133 64 43 20 **** 0 0 23 177 129<br />
Black & Other 554 5 82 222 139 56 36 10 0 **** 28 210 316<br />
Unknown 61 **** 11 27 8 5 6 **** 0 0 9 45 7<br />
11 All 670 11 134 252 154 73 29 13 0 **** 28 260 382<br />
White 249 5 60 88 45 26 17 6 0 **** 13 108 128<br />
Black & Other 366 6 60 147 94 42 10 5 0 **** 9 112 245<br />
Unknown 55 0 14 17 15 5 **** **** 0 0 6 40 9<br />
12 All 465 5 106 167 99 53 23 9 0 **** 26 214 225<br />
White 189 **** 44 61 41 24 12 **** 0 0 18 89 82<br />
Black & Other 247 **** 54 95 55 28 10 **** 0 **** 6 102 139<br />
Unknown 29 0 8 11 **** **** **** **** 0 **** **** 23 ****<br />
13 All 488 5 86 180 121 57 26 6 **** 6 17 158 313<br />
White 163 **** 26 60 41 21 9 **** 0 **** 8 65 90<br />
Black & Other 298 **** 53 114 76 31 16 **** **** **** 8 74 216<br />
Unknown 27 **** 7 6 **** 5 **** **** 0 **** **** 19 7<br />
14 All 280 6 57 104 66 27 12 6 0 **** 14 78 188<br />
White 107 0 25 33 26 11 8 **** 0 **** 7 37 63<br />
Black & Other 158 5 29 65 37 14 **** **** 0 **** 5 34 119<br />
Unknown 15 **** **** 6 **** **** 0 0 0 0 **** 7 6<br />
15 All 228 **** 49 94 45 19 12 **** **** 0 9 80 139<br />
White 80 **** 21 29 16 5 5 **** 0 0 7 34 39<br />
Black & Other 137 **** 26 60 27 12 7 **** **** 0 **** 38 98<br />
Unknown 11 0 **** 5 **** **** 0 0 0 0 **** 8 ****<br />
16 All 165 **** 40 76 28 12 6 **** 0 0 **** 57 107<br />
White 56 **** 12 28 8 **** **** **** 0 0 **** 29 26<br />
Black & Other 103 **** 28 44 18 9 **** 0 0 0 0 23 80<br />
Unknown 6 0 0 **** **** 0 0 0 0 0 0 5 ****<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 59
INDUCED TERMINATIONS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 4.3 Number <strong>of</strong> Induced Terminations <strong>of</strong> Pregnancy by Weeks <strong>of</strong> Gestation, Age, Race, and Marital Status<br />
Occurring in <strong>Louisiana</strong>, <strong>2003</strong><br />
Age Groups in Years Marital Status<br />
Weeks <strong>of</strong> Under 15- 20- 25- 30- 35- 40- 45 &<br />
Gestation Race Total 15 19 24 29 34 39 44 Older Unk. Married Unmarried Unknown<br />
17 All 118 **** 24 48 26 10 6 0 **** **** 8 56 54<br />
White 43 **** 7 19 5 6 **** 0 **** 0 5 21 17<br />
Black & Other 61 **** 13 25 16 **** **** 0 0 **** **** 24 35<br />
Unknown 14 0 **** **** 5 0 **** 0 0 0 **** 11 ****<br />
18 All 97 **** 17 41 22 9 **** **** 0 0 9 45 43<br />
White 34 **** **** 15 8 5 **** **** 0 0 5 19 10<br />
Black & Other 54 0 12 22 13 **** **** **** 0 0 **** 19 31<br />
Unknown 9 0 **** **** **** **** 0 **** 0 0 0 7 ****<br />
19 All 125 **** 26 43 28 12 11 **** 0 **** 14 59 52<br />
White 44 0 5 17 10 6 6 0 0 0 7 21 16<br />
Black & Other 55 **** 16 18 10 5 **** 0 0 **** **** 23 28<br />
Unknown 26 0 5 8 8 **** **** **** 0 **** **** 15 8<br />
20 All 99 **** 17 40 23 15 **** **** 0 0 9 64 26<br />
White 42 0 5 17 11 7 **** **** 0 0 **** 30 9<br />
Black & Other 45 **** 11 16 10 6 0 **** 0 0 6 24 15<br />
Unknown 12 0 **** 7 **** **** 0 0 0 0 0 10 ****<br />
21 & Over All 275 8 69 111 39 28 14 **** 0 **** 20 151 104<br />
White 101 0 12 46 22 12 5 **** 0 **** 13 51 37<br />
Black & Other 120 5 41 42 13 12 6 **** 0 0 5 60 55<br />
Unknown 54 **** 16 23 **** **** **** 0 0 **** **** 40 12<br />
Unknown All 158 **** 18 55 46 19 10 5 0 **** 10 83 65<br />
White 62 **** 5 23 20 5 6 **** 0 0 6 22 34<br />
Black & Other 67 **** 7 20 22 11 **** **** 0 **** **** 39 26<br />
Unknown 29 **** 6 12 **** **** **** **** 0 0 **** 22 5<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>. **** Count is greater than 0 and less than 5.<br />
Induced Terminations by Parish <strong>of</strong> Occurrence and Marital Status<br />
In <strong>2003</strong>, <strong>Louisiana</strong> has 10,761 Induced Terminations <strong>of</strong> Pregnancy reported. 714 <strong>of</strong> them were married women and 4,601 were<br />
unmarried. Marital Status was not known in 5,446 cases.<br />
Table 4.4 Number <strong>of</strong> Induced Terminations <strong>of</strong> Pregnancy<br />
by Parish <strong>of</strong> Occurrence and Marital Status, <strong>Louisiana</strong> <strong>2003</strong><br />
Parish Married Unmarried Unknown All<br />
Bossier 104 583 49 736<br />
Caddo **** **** 3110 3115<br />
East Baton Rouge 134 873 89 1096<br />
Jefferson 324 1997 147 2468<br />
Orleans 118 1058 2051 3227<br />
State Total 714 4601 5446 10761<br />
Out <strong>of</strong> State 31 88 - 119<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>. **** Count is greater than 0 and less than 5.<br />
Page 60 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
DEATHS<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 61
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
__________________________________________________________________________________________________________________<br />
Page 62 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
DEATHS<br />
INTRODUCTION<br />
Purpose <strong>of</strong> Death Surveillance<br />
In addition to serving as the legal records <strong>of</strong> death, death certificates provide surveillance information used to describe patterns<br />
<strong>of</strong> death by gender, race, age, and cause <strong>of</strong> death. Monitoring <strong>of</strong> differences in death patterns within and among demographic<br />
groups permits identification <strong>of</strong> persons at high risk <strong>of</strong> death from specific diseases and injuries. This type <strong>of</strong> monitoring makes<br />
it possible for communities, healthcare providers, researchers, and government agencies to target resources where they are<br />
most effective in reducing the risks <strong>of</strong> mortality.<br />
Source <strong>of</strong> Data: Certificate <strong>of</strong> Death<br />
Mortality information presented in this report is gathered from data recorded on the Certificate <strong>of</strong> Death for <strong>Louisiana</strong> residents<br />
who died in the <strong>2003</strong> calendar year. Data are recorded on these death certificates by funeral directors, who solicit demographic<br />
information from available next-<strong>of</strong>-kin, and by physicians or coroners, who record information on time, place, and cause <strong>of</strong><br />
death. <strong>Louisiana</strong> law requires that funeral directors send death certificates to the <strong>Vital</strong> Records Registry within five days <strong>of</strong> the<br />
occurrence <strong>of</strong> a death. State laws also specify that the identities <strong>of</strong> persons included in the death registry be kept confidential.<br />
Death statistics are compiled in accordance with World Health Organization (WHO) regulations, which require member nations<br />
to classify causes <strong>of</strong> death according to the revision <strong>of</strong> the International Classification <strong>of</strong> Diseases, Injuries, and Causes <strong>of</strong><br />
Death (ICD) in effect at the time <strong>of</strong> death. Deaths that occurred in <strong>2003</strong> are coded in accordance with the tenth revision (ICD-<br />
10).<br />
All <strong>of</strong> the causes <strong>of</strong> death described in this report are underlying causes <strong>of</strong> death, defined as the disease or injury that initiated<br />
the sequence <strong>of</strong> events leading to death. Secondary causes <strong>of</strong> death, which are also recorded on death certificates, are not<br />
presented in this report.<br />
Unless otherwise noted, all statistics reported here are for deaths <strong>of</strong> <strong>Louisiana</strong> residents, regardless <strong>of</strong> the state in which the<br />
death occurred. The <strong>Vital</strong> <strong>Statistics</strong> Cooperative Program, a nationwide system <strong>of</strong> information exchange among all U.S. states<br />
and territories, makes possible the receipt <strong>of</strong> out-<strong>of</strong>-state deaths occurring to <strong>Louisiana</strong> residents.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 63
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
NUMBER AND RATES<br />
In <strong>2003</strong>, there were 42,297 deaths in <strong>Louisiana</strong>, compared to 41,797 deaths reported in 2002 (Figure 5.1, Table 5.1).<br />
Number <strong>of</strong> Deaths<br />
Crude Death Rate<br />
44000<br />
42000<br />
40000<br />
38000<br />
36000<br />
Figure 5.1: Death Counts & Crude Death Rates,<br />
<strong>Louisiana</strong>, 1985-<strong>2003</strong><br />
34000<br />
800<br />
1985 1987 1989 1991 1993<br />
Year<br />
1995 1997 1999 2001 <strong>2003</strong><br />
<strong>Louisiana</strong>’s crude death rate increased in <strong>2003</strong> to 940.7 per 100,000 population from the 2002 rate <strong>of</strong> 932.4. Conversely, U.S.<br />
rates decreased between 2002 and <strong>2003</strong>, when they were 847.3 and 841.9 deaths per 100,000 population, respectively (Figure<br />
5.2, Table 5.1).<br />
Caution must be used when comparing crude rates from different populations, because crude rates are affected by differences<br />
in the composition <strong>of</strong> the two populations (see definition in the Technical Notes section). For example, areas that attract people<br />
over age 65 usually have higher crude death rates than areas with larger numbers <strong>of</strong> young families, because people over age<br />
65 are at a higher risk <strong>of</strong> dying.<br />
Rate per 100,000<br />
population<br />
960<br />
940<br />
920<br />
900<br />
880<br />
860<br />
840<br />
820<br />
800<br />
Figure 5.2 Crude Death Rates<br />
<strong>Louisiana</strong> and United States, 1985-<strong>2003</strong><br />
__________________________________________________________________________________________________________________<br />
Page 64 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong><br />
1000<br />
1985 1987 1989 1991 1993 1995 1997 1999 2001 <strong>2003</strong><br />
950<br />
900<br />
850<br />
Rate per 100,000<br />
Population<br />
Number<br />
Rate<br />
<strong>Louisiana</strong><br />
U.S.
2002 LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Table 5.1: Number and Rates + Deaths<br />
<strong>Louisiana</strong> and United States, 1984-<strong>2003</strong><br />
<strong>Louisiana</strong> <strong>Louisiana</strong><br />
Year<br />
Number Crude Rate +<br />
U.S.<br />
Crude Rate +<br />
Year<br />
Number Crude Rate +<br />
U.S.<br />
Crude Rate +<br />
1984 35865 804.0 864.8 1994 38950 902.7 875.4<br />
1985 37041 825.7 876.9 1995 39539 911.0 880.0<br />
1986 36287 806.2 876.7 1996 39511 908.2 872.5<br />
1987 35759 816.6 876.4 1997 39917 917.3 864.7<br />
1988 37578 850.3 886.7 1998 40209 920.3 864.7<br />
1989 37503 856.0 871.3 1999 40976 937.2 877.0<br />
1990 37375 885.9 863.8 2000 40928 915.8 854.0<br />
1991 38092 895.9 860.3 2001 41495 929.2 848.9<br />
1992 37428 873.1 852.9 2002 41797 932.4 847.3<br />
1993 39490 919.4 880.0 <strong>2003</strong> 42297 940.7 841.9<br />
+ Rate per 100,000 population<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong><br />
National Center for Health <strong>Statistics</strong><br />
Age-Adjusted Death Rate<br />
To compensate for differences in the distribution <strong>of</strong> ages, age-adjusted rates are used when comparing deaths in different<br />
populations (see definition in the Technical Notes section). The age-adjusted death rate is an artificial number, designed to be<br />
used for comparisons <strong>of</strong> different populations. Unlike the crude death rate, it does not measure the true rate <strong>of</strong> death in a<br />
population, and it should not be used in comparisons with crude death rates.<br />
In <strong>2003</strong>, the age-adjusted death rate for all causes <strong>of</strong> mortality for <strong>Louisiana</strong> was 994.8 per 100,000 population, as compared to<br />
832.7 for the United States (Table 5.2,). The age-adjusted death rate for <strong>Louisiana</strong> has been one <strong>of</strong> the highest among the 50<br />
states.<br />
LEADING CAUSES OF DEATH<br />
<strong>Louisiana</strong> and United States Death Rates<br />
Based on rankings <strong>of</strong> <strong>2003</strong> crude death rates for the total population <strong>of</strong> <strong>Louisiana</strong>, the five leading causes <strong>of</strong> death were, in<br />
descending order: Diseases <strong>of</strong> the Heart; Malignant Neoplasms (Cancer); Cerebrovascular Diseases (Stroke); Accidents; and<br />
Diabetes Mellitus. Deaths from these causes accounted for 64% <strong>of</strong> all deaths among <strong>Louisiana</strong> residents in the year <strong>2003</strong><br />
(Figure 5.3, Table 5.2).<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 65
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Figure 5.3: Percent <strong>of</strong> Deaths from the Five Leading Causes <strong>of</strong> Death<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Malignant Neoplasms<br />
22%<br />
All Other Causes<br />
36%<br />
Accidents & Adverse<br />
Effects<br />
5%<br />
Diabetes Mellitus<br />
4%<br />
Diseases <strong>of</strong> the Heart<br />
27%<br />
Cerebrovascular<br />
Disease<br />
6%<br />
Rounding out the ten leading causes <strong>of</strong> death to <strong>Louisiana</strong> residents in <strong>2003</strong> were: Chronic Lower Respiratory Diseases;<br />
Alzheimer’s disease; Nephritis, Nephrotic Syndrome, and Nephrosis; Influenza and Pneumonia; and Septicemia. <strong>Louisiana</strong> and<br />
the United States shared the same ten leading causes <strong>of</strong> death in <strong>2003</strong>, but differed in the rates at which they occurred, and<br />
thus their rank order. The three leading causes <strong>of</strong> death in both <strong>Louisiana</strong> and the United States in <strong>2003</strong> were heart disease,<br />
cancer, and stroke. <strong>Louisiana</strong>'s crude death rates, however, exceeded the national rates for eight <strong>of</strong> the ten leading causes <strong>of</strong><br />
death; only Chronic Lower Respiratory Diseases and Influenza and Pneumonia rates were higher at the national level. The<br />
ranking <strong>of</strong> age-adjusted death rates was determined by listing the crude death rates from highest to lowest and then adjusting<br />
these rates for age, maintaining the original rank order (Table 5.2, Figure 5.4).<br />
Table 5.2: Rankings, Counts and Rates for the Ten Leading Causes <strong>of</strong> Death<br />
<strong>Louisiana</strong> and United States, <strong>2003</strong><br />
<strong>Louisiana</strong> United States<br />
Cause <strong>of</strong> Death<br />
Crude<br />
Rank* Number Rate +<br />
Age-adjusted<br />
Rate ++<br />
Crude Rate<br />
Rank*<br />
+ Age-adjusted<br />
Rate ++<br />
All Causes - 42297 932.4 994.8 - 841.9 832.7<br />
Diseases <strong>of</strong> the Heart 1 11440 271.8 271.8 1 235.6 232.3<br />
Malignant Neoplasms 2 9459 220.2 220.2 2 191.5 190.1<br />
Cerebrovascular Disease 3 2504 59.9 59.9 3 54.2 54.2<br />
Accidents 4 2143 48.3 48.3 5 37.6 37.3<br />
Diabetes Mellitus 5 1730 40.6 40.6 6 25.5 25.6<br />
Chronic Lower Respiratory Diseases 6 1708 40.6 40.6 4 43.5 43.3<br />
Alzheimer’s Disease 7 1176 28.9 28.9 8 21.8 21.4<br />
Nephritis, Nephrotic Syndrome, & Nephrosis 8 1058 25.0 25.0 9 14.6 14.4<br />
Influenza and Pneumonia 9 908 22.0 22.0 7 22.4 22.0<br />
Septicemia 10 811 19.2 19.2 10 11.7 11.6<br />
*Rank is based on crude death rate per 100,000 population.<br />
+ Crude rate per 100,000 population<br />
++ Age-adjusted rate per 100,000 <strong>2003</strong> U.S. standard population<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong><br />
__________________________________________________________________________________________________________________<br />
Page 66 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Figure 5.4: Age-Adjusted Death Rates for the Ten Leading Causes <strong>of</strong> Death<br />
<strong>Louisiana</strong> and United States, <strong>2003</strong><br />
Septicemia<br />
Influenza & Pneumonia<br />
Nephritis, Nephrotic Syndrome, & Nephrosis<br />
Alzheimer's Disease<br />
Chronic Low er Respiratory Diseases<br />
Diabetes Mellitus<br />
Accidents<br />
Cerebrovascular Disease<br />
Malignant Neoplasms<br />
Diseases <strong>of</strong> the Heart<br />
0 25 50 75 100 125 150 175 200 225 250 275<br />
Rate per 100,000 U.S. 2000 standard population<br />
1994-<strong>2003</strong> <strong>Louisiana</strong> Death Rates<br />
The top four causes <strong>of</strong> death for the year <strong>2003</strong> have been the leading causes <strong>of</strong> death in <strong>Louisiana</strong> for the past twenty years.<br />
The fifth-ranked cause has alternated among Diabetes, Chronic Lower Respiratory Diseases, and Influenza and Pneumonia.<br />
Figures 5.5, 5.6, and 5.7, and Table 5.3 present crude death rates for the top five causes <strong>of</strong> death in <strong>Louisiana</strong> from 1994<br />
through <strong>2003</strong>. Beginning with deaths occurring in 1999, the United States implemented the tenth revision <strong>of</strong> the International<br />
Classification <strong>of</strong> Diseases, Injuries, and Causes <strong>of</strong> Death (ICD-10). The ICD system categorizes death causes recorded on<br />
death certificates into groups useful for summarizing, describing, and comparing causes <strong>of</strong> death throughout the world (see<br />
Technical Notes). Figures 5.5, 5.6, and 5.7 present two versions <strong>of</strong> crude death rates for 1996, 1997, and 1998. The "filled"<br />
pointers for these three years report crude death rates as determined under the ninth revision <strong>of</strong> the International Classification<br />
<strong>of</strong> Diseases (ICD-9), which was used to classify deaths occurring from 1979 through 1998. The "unfilled" pointers report these<br />
same crude death rates after they have been adjusted mathematically to be comparable to ICD-10.<br />
Rate per 100,000 population<br />
Figure 5.5: Crude Death Rates for Heart Disease and Cancer<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
300<br />
250<br />
200<br />
150<br />
100<br />
50<br />
0<br />
1994 1995 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
Notes: unfilled pointers ( and ) represent crude death rates multiplied by a comparability ratio.<br />
Disease <strong>of</strong> Heart: ICD-9 codes in 1979-1998 … 390-398, 402, 404, 410-429<br />
ICD-10 codes in 1999-2002 ... I00-I09, I11, I13, I20-I51<br />
Comparability Ratio = 0.9858<br />
Malignant Neoplasms: ICD-9 codes in 1979-1998 … 140-208<br />
ICD-10 codes in 1999-<strong>2003</strong> … C00-C97<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 67<br />
U.S.<br />
Diseases <strong>of</strong> Heart<br />
<strong>Louisiana</strong><br />
Malignant Neoplasms
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Rate per 100,000 population<br />
Figure 5.6: Crude Death Rates for Cerebrovascular Disease and Accidents<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
70<br />
60<br />
Cerebrovascular<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Disease<br />
Accidents<br />
1994 1995 1996 1997 1998 1999* 2000 2001 2002 <strong>2003</strong><br />
Notes: unfilled pointers ( and ) represent crude death rates multiplied by a comparability ratio.<br />
Cerebrovascular Disease: ICD-9 codes in 1979-1998 … 430-434, 436-438<br />
ICD-10 codes in 1999-<strong>2003</strong> ... I60-I69<br />
Comparability Ratio = 1.0588<br />
Accidents: ICD-9 codes in 1979-1998 … E800-E869, E880-E929<br />
ICD-10 codes in 1999-<strong>2003</strong> ... V01-X59, Y85-Y86<br />
Comparability Ratio = 1.0305<br />
Rate per 100,000 population<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Figure 5.7: Crude Death Rates for Diabetes<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
1994 1995 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
Notes: unfilled pointers ( and ) represent crude death rates multiplied by a comparability ratio.<br />
Diabetes: ICD-9 codes in 1979-1998 … 250<br />
ICD-10 codes in 1999-<strong>2003</strong> ... E10-E14<br />
Comparability Ratio = 1.0082<br />
Diabetes<br />
__________________________________________________________________________________________________________________<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Table 5.3 reports both unmodified (i.e., ICD-9) and comparability-modified (i.e., adjusted to be comparable to ICD-10) versions<br />
<strong>of</strong> the 1996, 1997, and 1998 crude death rates.<br />
Table 5.3: Crude Death Rates + for Selected Leading Causes <strong>of</strong> Death<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
Cause <strong>of</strong> Death (ICD-9 and<br />
Comparability-<br />
ICD-10 code)<br />
Modified 1<br />
1994 1995 1996 1997 1998 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
Diseases <strong>of</strong> Heart<br />
(390-398, 402,404,410-429)<br />
(I00-I09, I11,I13, I20-I51)<br />
Malignant Neoplasms(140-<br />
278 279 271 272 271 267 268 267 273 259 255 248.4 254.4<br />
208)(C00-C97) 208 214 214 215 214 216 216 215 214 209 212 209.7 210.4<br />
Cerebrovascular Disease<br />
(430-434, 436-438), (I60-I69) 55 58.6 59 58 57.5 62.5 61.4 60.9 60.9 55.8 58.7 57.4 55.7<br />
Accidents<br />
(E800-869, E880, E929)<br />
(V01-X59, Y85-Y86)<br />
Diabetes<br />
40.7 41 40.3 42 42.5 41.5 43.2 43.8 43.5 44.5 44.3 46.7 47.7<br />
(250) (E10-E14) 33.5 34.4 37.3 38.7 41.7 37.6 39 42.1 38.5 37.8 38.7 39.5 38.5<br />
+ Rate per 100,000 population.<br />
1 Rate modified by comparability ratios.<br />
Notes: ICD-9 used in 1990-1998 and ICD-10 used in 1999-<strong>2003</strong>.<br />
DEATHS BY DEMOGRAPHIC GROUP<br />
Mortality by Gender<br />
In <strong>2003</strong>, there were 21,084 male (49.9%) and 21,213 female (50.1%) deaths in <strong>Louisiana</strong> (Table 5.4). The crude death rate for<br />
males (966.1 per 100,000 male population) was higher than for females (916.7 per 100,000 female population) (Figure 5.8,<br />
Table 5.4).<br />
Rate per 100,000<br />
sex-specific population<br />
1000<br />
950<br />
900<br />
850<br />
800<br />
750<br />
700<br />
Figure 5.8: Crude Death Rates by Gender<br />
<strong>Louisiana</strong>, 1985-<strong>2003</strong><br />
1985 1987 1989 1991 1993 1995 1997 1999 2001 <strong>2003</strong><br />
Females<br />
Males<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 69
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Cause <strong>of</strong> Death<br />
(ICD-10 Codes)<br />
All Causes<br />
Table 5.4: Rankings, Numbers and Rates for the Leading Causes <strong>of</strong> Death by Gender<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Overall Male<br />
Female<br />
Rank*<br />
-<br />
Number<br />
Crude<br />
Rate +<br />
__________________________________________________________________________________________________________________<br />
Page 70 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong><br />
Rank*<br />
Number<br />
Crude<br />
Rate +<br />
Rank*<br />
Number<br />
Diseases <strong>of</strong> the Heart<br />
(I00-I09, I11, I13, I20-I51) 1 11440 254.4 1 5662 259.4 1 5778 249.7<br />
Malignant Neoplasms<br />
(C00-C97) 2 9459 210.4 2 5028 230.4 2 4431 191.5<br />
Cerebrovascular Disease<br />
(I60-I69) 3 2504 55.7 4 1005 46.1 3 1499 64.8<br />
Accidents<br />
(V01-X59, Y85-Y86) 4 2143 47.7 3 1470 67.4 7 673 29.1<br />
Diabetes Mellitus<br />
(E10-E14) 5 1730 38.5 6 758 34.7 4 972 42.0<br />
Chronic Lower Respiratory<br />
Diseases<br />
(J40-J47)<br />
Alzheimer’s Disease<br />
(G30)<br />
Crude<br />
Rate +<br />
6 1708 38.0 5 834 38.2 5 874 37.8<br />
7 1176 26.2 10 366 16.8 6 810 35.0<br />
Nephritis, Nephrotic<br />
Syndrome, & Nephrosis<br />
(N00-N07, N17-N19, N25-N27)<br />
8 1058 23.5 7 493 22.6 8 565 24.4<br />
Influenza & Pneumonia<br />
(J10-J18) 9 908 20.2 9 382 17.5 9 526 22.7<br />
Septicemia<br />
(A40-A41) 10 811 18.0 12 348 15.9 10 463 20.0<br />
Homicide<br />
(X85-Y09, Y87.1) 11 596 13.3 8 493 22.6 - 103 4.5<br />
Suicide<br />
(X60-X84, Y87.0) 12 456 10.1 11 357 16.4 - 99 4.3<br />
Chronic Liver Disease &<br />
Cirrhosis<br />
(K70, K73-K74)<br />
HIV Infection<br />
13 389 8.7 14 237 13.3 15 108 4.3<br />
(B20, B24) 14 345 7.7 13 290 10.9 - 99 4.0<br />
Certain Conditions Originating<br />
in the Perinatal Period<br />
(P00-P96)<br />
15 280 6.2 15 159 7.3 13 121 5.2<br />
Residual<br />
*Rank is based on rate per 100,000 gender-specific population<br />
+ Rate per 100,000 gender-specific population. <strong>2003</strong> census population estimates were used to calculate rates.<br />
“-“ In cell indicates the gender-specific rate is not ranked in the top 15<br />
th th<br />
Note: Females: 11 rank - Essential Hypertension and Hypertensive Renal Disease, 216 deaths, rate=9.3; 12 rank – Pneumonitis due to solids and<br />
liquids, 136 deaths, rate=5.9; 14 th rank – Parkinson’s Disease, 117 deaths, rate=5.1
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Mortality by Race<br />
Certain Conditions Originating in the Perinatal Period<br />
Of the 42,297 deaths to <strong>Louisiana</strong> residents in <strong>2003</strong>, 28,947 (68.5%) occurred among whites, 13,075 (30.9%) among blacks and<br />
275 (less than 1%) among other races. The crude death rate in whites (995.7 per 100,000 white population) was higher than in<br />
blacks (876.4 per 100,000 black population) (Table 5.5). Throughout the 1990s, the crude death rate among whites increased,<br />
while that <strong>of</strong> blacks generally remained stable (Figure 5.10).<br />
Rate per 100,000<br />
race-specific population<br />
1000<br />
975<br />
950<br />
925<br />
900<br />
875<br />
850<br />
Figure 5.9: Crude Death Rates for the Leading Causes <strong>of</strong> Death by Gender<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Chronic Liver Disease & Cirrhosis<br />
HIV Infection<br />
Suicide<br />
Homicide<br />
Septicemia<br />
Influenza & Pneumonia<br />
Nephritis, Nephrotic Syndrome, & Nephrosis<br />
Alzheimer's Disease<br />
Chronic Lower Respiratory Disease<br />
Diabetes M ellitus<br />
Accidents<br />
Cerebrovascular Disease<br />
M alignant Neoplasms<br />
Diseases <strong>of</strong> the Heart<br />
0 50 100 150 200 250 300<br />
Figure 5.10 Crude Death Rates by Race<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
1994 1995 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 71<br />
Male<br />
Female<br />
Rate per 100,000 sex-specific population<br />
White<br />
Black
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Cause <strong>of</strong> Death<br />
(ICD-10 Codes)<br />
All Causes<br />
Diseases <strong>of</strong> the Heart<br />
(I00-I09, I11, I13, I20-I51)<br />
Malignant Neoplasms<br />
(C00-C97)<br />
Cerebrovascular Disease<br />
(I60-I69)<br />
Accidents<br />
(V01-X59, Y85-Y86)<br />
Diabetes Mellitus<br />
(E10-E14)<br />
Chronic Lower Respiratory<br />
Diseases<br />
(J40-J47)<br />
Table 5.5: Rankings, Count and Rates for the Leading Causes <strong>of</strong> Death by Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Rank*<br />
All Races White<br />
Count<br />
Crude<br />
Rate +<br />
__________________________________________________________________________________________________________________<br />
Page 72 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong><br />
Rank*<br />
Count<br />
Crude<br />
Rate +<br />
Rank*<br />
Black<br />
Count<br />
Crude<br />
Rate +<br />
- 42297 940.7 - 28947 995.7 - 13075 876.4<br />
1 11440 254.4 1 8069 277.6 1 330.2 221.3<br />
2 9459 210.4 2 6576 226.2 2 2829 189.6<br />
3 2504 55.7 3 1671 57.5 3 822 55.1<br />
4 2143 47.7 4 1550 53.3 5 571 38.3<br />
5 1730 38.5 7 948 32.6 4 767 51.4<br />
6 1708 38.0 5 1389 47.8 9 312 20.9<br />
Alzheimer’s Disease<br />
(G30) 7 1176 26.2 6 980 33.7 12 194 13.0<br />
Nephritis, Nephrotic Syndrome,<br />
& Nephrosis<br />
(N00-N07, N17-N19, N25-N27)<br />
Influenza & Pneumonia<br />
(J10-J18)<br />
Septicemia<br />
(A40-A41)<br />
Homicide<br />
(X85-Y09, Y87.1)<br />
Suicide<br />
(X60-X84, Y87.0)<br />
HIV Infection<br />
(B20-B24)<br />
Essential(Primary) Hypertension<br />
& Hypertensive Renal Disease<br />
(I10, I12)<br />
Chronic Liver Disease &<br />
Cirrhosis<br />
(K70, K73-K74)<br />
8 1058 23.5 9 608 20.9 7 437 29.3<br />
9 908 20.2 8 682 23.5 11 219 14.7<br />
10 811 18.0 10 494 17.0 8 313 21.0<br />
11 596 13.3 - 116 4.0 6 473 31.7<br />
12 456 10.1 11 395 13.6 - 53 3.6<br />
13 389 8.7 - 85 2.9 10 303 20.3<br />
14 354 7.9 14 181 6.2 14 170 11.4<br />
15 345 7.7 12 251 8.6 15 91 6.1<br />
Residual 7294 5049 2199<br />
*Rank is based on rate per 100,000 race-specific population. For "Other" rank is based on number <strong>of</strong> deaths.<br />
+<br />
Rate per 100,000 race-specific population<br />
****Cells suppressed to protect confidentiality<br />
Notes: White: 12 th Parkinson’s Disease, 225 deaths, rate=7.7<br />
15 th Pneumonitis due to solids and liquids, 170 deaths, rate=5.8<br />
Black: 14 th rank is Certain Conditions Originating in the Perinatal period(P00-P96), 190 deaths, rate=12.7<br />
1<br />
Other: rate not calculated because <strong>of</strong> instability due to low frequency<br />
“-“in cell indicates the race-specific rate is not ranked in the top fifteen.<br />
In <strong>2003</strong>, the top three causes <strong>of</strong> death for both whites and blacks were diseases <strong>of</strong> the heart, malignant neoplasms, and<br />
cerebrovascular disease. Although the leading causes <strong>of</strong> death were similar among all race groups, there were considerable<br />
differences in race-specific crude death rates (Figure 5.11, and Table 5.5). Crude death rates among whites were notably<br />
higher than those among blacks for diseases <strong>of</strong> the heart (277.6 vs. 221.3), malignant neoplasms (226.2 vs. 189.6), chronic<br />
lower respiratory disease (47.8 vs. 20.9), Alzheimer’s disease (33.7 vs. 13.0), and suicide (13.6 vs. 3.6). Crude death rates for<br />
blacks substantially exceeded those for whites for Diabetes Mellitus (51.4 vs. 32.6), Homicide (31.7 vs. 4.0), HIV infection (20.3<br />
vs. 2.9), and Essential (Primary) Hypertension & Hypertensive Renal Disease (11.4 vs. 6.2).
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Essential Hypertension and Hypertensive Renal Disease<br />
Mortality by Gender and Race<br />
Figure 5.11: Crude Death Rates for the Leading Causes <strong>of</strong> Death by Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
HIV Infection<br />
Suicide<br />
Homicide<br />
Septicemia<br />
Influenza & Pneumonia<br />
Nephritis, Nephrotic Syndrome, & Nephrosis<br />
Alzheimer's Disease<br />
Chronic Low er Respiratory Disease<br />
Diabetes Mellitus<br />
Accidents<br />
Cerebrovascular Disease<br />
Malignant Neoplasms<br />
Diseases <strong>of</strong> the Heart<br />
0 50 100 150 200 250 300<br />
Rate per 100,000 race-specific population<br />
Age-adjusted death rates for the five leading causes <strong>of</strong> death in the major race/gender groups make direct comparisons among<br />
the groups possible. For the three leading causes <strong>of</strong> death, as well as nephritis, influenza and pneumonia, and septicemia, ageadjusted<br />
death rates for <strong>2003</strong> were higher in black males than in all other race/gender groups.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 73<br />
Black<br />
White
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Age-adjusted rate per 100,000 standard<br />
U.S. 2000 population<br />
Mortality by Age<br />
Table 5.6: Age-Adjusted Death Rates +<br />
Selected Leading Causes <strong>of</strong> Death by Race-Gender<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death<br />
(ICD-10 Code)<br />
Race/Gender<br />
Rate<br />
Diseases <strong>of</strong> the Heart Total 271.8<br />
(I00-I09, I11, I13, I20-I51) White Male 321.3<br />
White Female 207.0<br />
Black Male 382.2<br />
Black Female 271.5<br />
Malignant Neoplasms Total 220.2<br />
(C00-C97) White Male 262.2<br />
White Female 168.6<br />
Black Male 359.5<br />
Black Female 209.8<br />
Cerebrovascular Diseases Total 59.9<br />
(I60-I69) White Male 54.9<br />
White Female 52.6<br />
Black Male 89.5<br />
Black Female 73.1<br />
Accidents Total 48.3<br />
(V01-X59, Y85-Y86) White Male 75.3<br />
White Female 30.1<br />
Black Male 65.8<br />
Black Female 23.7<br />
Diabetes Mellitus Total 40.6<br />
(E10-E14) White Male 33.4<br />
White Female 27.0<br />
Black Male 73.7<br />
Black Female 72.8<br />
+<br />
Rate per 100,000 U.S. 2000 standard population.<br />
Figure 5.12: Age-Adjusted Death Rates for Selected Leading Causes <strong>of</strong> Death by Race-Gender<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
400.0<br />
300.0<br />
200.0<br />
100.0<br />
0.0<br />
Disease <strong>of</strong> the<br />
Heart<br />
Malignant<br />
Neoplasms<br />
Cerebrovascular<br />
Disease<br />
Accidental<br />
Deaths<br />
Diabetes<br />
White Male<br />
White Female<br />
Black Male<br />
Black Female<br />
When examined by age group, the leading causes <strong>of</strong> death in <strong>Louisiana</strong> in the year <strong>2003</strong> followed the traditional pattern <strong>of</strong><br />
mortality seen in the United States. Accidents, the primary cause <strong>of</strong> death among young people, gave way to deaths from<br />
chronic conditions such as cancer and heart disease in the middle-aged and elderly (Table 5.7).<br />
__________________________________________________________________________________________________________________<br />
Page 74 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Table 5.7: Rankings and Counts for the Five Leading Causes <strong>of</strong> Death by Age Groups 1 Year and Older<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Counts by Age Groups (years)<br />
Rank 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+<br />
1<br />
2<br />
3<br />
4<br />
5<br />
Accidents<br />
38<br />
Congenital<br />
malformations,<br />
deformations &<br />
chromosomal<br />
abnormalities<br />
11<br />
Malignant<br />
Neoplasms<br />
5<br />
Cerebrovascular<br />
Diseases and<br />
Diseases <strong>of</strong> the<br />
Heart<br />
3 each<br />
Chronic Lower<br />
Respiratory<br />
Diseases<br />
Accidents<br />
52<br />
Congenital<br />
malformations,<br />
deformations &<br />
chromosomal<br />
abnormalities<br />
10<br />
Homicide<br />
Diseases <strong>of</strong> the<br />
Heart and<br />
Malignant<br />
Neoplasms<br />
9 each<br />
Influenza &<br />
Pneumonia<br />
5<br />
Chronic Lower<br />
Respiratory<br />
Diseases<br />
Accidents<br />
383<br />
Homicide<br />
176<br />
Suicide<br />
79<br />
Malignant<br />
Neoplasms<br />
25<br />
Diseases <strong>of</strong><br />
the Heart<br />
Accidents<br />
294<br />
Homicide<br />
191<br />
Diseases <strong>of</strong><br />
the Heart<br />
77<br />
Suicide<br />
76<br />
HIV Infection<br />
Accidents<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 75<br />
362<br />
Diseases <strong>of</strong><br />
the Heart<br />
340<br />
Malignant<br />
Neoplasms<br />
313<br />
HIV Infection<br />
160<br />
Suicide<br />
Malignant<br />
Neoplasms<br />
1007<br />
Diseases <strong>of</strong><br />
the Heart<br />
889<br />
Cerebrovascular<br />
Diseases<br />
154<br />
Chronic<br />
Liver<br />
Disease &<br />
Cirrhosis<br />
104<br />
HIV<br />
infection<br />
Malignant<br />
Neoplasms<br />
1740<br />
Diseases <strong>of</strong><br />
the Heart<br />
1361<br />
Diabetes<br />
Mellitus<br />
297<br />
Cerebrovascular<br />
Diseases<br />
253<br />
Accidents<br />
Malignant<br />
Neoplasms<br />
2440<br />
Diseases <strong>of</strong><br />
the Heart<br />
2044<br />
Diabetes<br />
Mellitus<br />
453<br />
Chronic<br />
Lower<br />
Respiratory<br />
Diseases<br />
448<br />
Cerebrovascular<br />
Diseases<br />
Diseases <strong>of</strong><br />
the Heart<br />
3358<br />
Malignant<br />
Neoplasms<br />
2656<br />
Cerebrovascular<br />
Diseases<br />
777<br />
Chronic<br />
Lower<br />
Respiratory<br />
Diseases<br />
621<br />
Diabetes<br />
Mellitus<br />
Diseases <strong>of</strong><br />
the Heart<br />
3316<br />
Malignant<br />
Neoplasms<br />
1193<br />
Alzheimer’s<br />
Disease<br />
844<br />
Influenza &<br />
Pneumonia<br />
2<br />
3<br />
24<br />
71<br />
104 94 204 385 475 409<br />
Top five 62 97 687 709 999 2248 3855 5770 7887 6370<br />
608<br />
Chronic<br />
Lower<br />
Respiratory<br />
Diseases<br />
Total 107 135 825 1016 1941 3636 5233 7635 11384 9781<br />
Mortality by Age and Gender<br />
The crude death rate for males surpassed that for females in every age group (Figures 5.13 and 5.14, Table 5.8).<br />
Rate per100,000 sex/agespecific<br />
population<br />
800<br />
600<br />
400<br />
200<br />
Figure 5.13: Crude Death Rates by Age Group 1-54 and<br />
Gender<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
0<br />
1-4 5-14 15-24 25-34 35-44 45-54<br />
Age Group (years)<br />
Male<br />
Female
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Rate per 100,000<br />
sex/age-specific population<br />
Mortality by Age and Race<br />
17500<br />
15000<br />
12500<br />
10000<br />
7500<br />
5000<br />
2500<br />
0<br />
Figure 5.14 Crude Death Rates by Age Group 55 and over<br />
and Gender <strong>Louisiana</strong>, <strong>2003</strong><br />
55-64 65-74 75-84 85 & Older All Ages<br />
Age Group (years)<br />
Male<br />
Female<br />
Table 5.8: Death Counts and Crude Death Rates by Age Group and Gender<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Total Male Female<br />
Age Group ( Years ) Number Rate +<br />
Number Rate +<br />
Number Rate +<br />
Under 1 1<br />
604 885.6 335 963.2 269 804.8<br />
1-4 107 41.8 69 52.7 38 30.3<br />
5-14 135 20.8 80 24.1 55 17.3<br />
15-24 825 117.0 612 171.8 213 61.1<br />
25-34 1016 139.4 703 241.0 313 104.4<br />
35-44 1941 155.9 1220 384.7 721 215.5<br />
45-54 3636 309.8 2258 741.1 1378 428.3<br />
55-64 5233 857.6 3132 1552.0 2101 945.6<br />
65-74 7635 1878.7 4146 3346.1 3489 2256.2<br />
75-84 11384 4154.4 5422 7587.6 5962 5308.0<br />
85 & Older 9781 18355.1 3107 17122 6674 15211.4<br />
Unknown 0 0 0<br />
Total 42297 940.7 21084 966.1 21213 916.7<br />
+<br />
Rates are per 100,000 gender/age-specific population.<br />
1<br />
Death rates for Under 1 Year (based on population estimates) differ from Infant Mortality Rates (based on live births).<br />
The crude death rates for whites were lower than those for blacks in all age groups except in the age group 5-14 years where<br />
the rates were appoximately equal. The gap widened with increasing age groups, reaching the greatest proportional difference<br />
in the 45-54 age group, in which the rate for blacks was almost double that <strong>of</strong> whites (Figures 5.15 and 5.16, Table 5.9).<br />
__________________________________________________________________________________________________________________<br />
Page 76 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Rate per 100,000 race/agespecific<br />
population<br />
Rate per 100,000 sex/agespecific<br />
population<br />
1000<br />
750<br />
500<br />
250<br />
Figure 5.15: Crude Death Rates by Age Group 1-54 and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
0<br />
20000<br />
15000<br />
10000<br />
5000<br />
1-4 5-14 15-24 25-34 35-44 45-54<br />
Age Group (years)<br />
Figure 5.16: Crude Death Rates by Age Group 55 & over and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
0<br />
55-64 65-74 75-84 85 & + All Ages<br />
Age Group (years)<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 77<br />
whites<br />
blacks<br />
whites<br />
blacks
DEATHS <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 5.9: Death Counts and Crude Death Rates by Age Group and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
All Races White Black Other<br />
Age Group (Years) Number Rate +<br />
Number Rate +<br />
Number Rate + Number<br />
Under 1Year 1 604 885.6 237 639.6 358 1200.1 9<br />
1-4 107 41.8 32 22.2 73 68.5 2<br />
5-14 135 20.8 52 14.1 81 30.6 2<br />
15-24 825 117.0 465 112.2 350 127.7 10<br />
25-34 1016 171.7 487 129.7 518 260.9 11<br />
35-44 1941 297.8 1060 245.5 867 423.8 14<br />
45-54 3636 580.4 1963 459.1 1640 881.5 33<br />
55-64 5233 1234.2 3198 1032.8 1993 1868.1 42<br />
65-74 7635 2741.0 5272 2535.8 2304 3452.6 59<br />
75-84 11384 6194.4 8637 6053.0 2699 6844.7 48<br />
85 & Older 9781 15770.5 7544 16024.5 2192 15228.6 45<br />
Unknown 0 0 0 0<br />
Total 42297 940.7 28947 995.7 13075 876.4 275<br />
+ Rate per 100,000 race/age-specific population. <strong>2003</strong> census estimates were used for the calculation <strong>of</strong> age-specific rates.<br />
1 Death rates for “Under 1 Year” (based on population estimates) differ from Infant Mortality Rates (based on live births)<br />
**** Cells suppressed to protect confidentiality.<br />
Note: Rates were not calculated for records with age missing as there is no denominator with which to calculate the rate.<br />
The rates for “Other” were not calculated due to low frequency and unreliability <strong>of</strong> race coding, which create instability.<br />
Mortality by Age, Gender, and Race<br />
In <strong>2003</strong>, mortality rates in <strong>Louisiana</strong> for whites and blacks showed significant differences among age groups (Table 5.10).<br />
Mortality rates for black males and females under the age <strong>of</strong> 5 years were approximately double those for their white<br />
counterparts. Within gender, the rates for blacks were higher than those for whites. The rates for black males were higher and<br />
almost double those for white males in all age groups except in the age group 15-24 years, where the rates were more or less<br />
the same. The rates for females reflected a similar trend; these were higher among blacks than whites, and almost double in<br />
certain age groups, except in the age group 15-24 years where the rates were almost equal. White females had the lowest<br />
mortality rates among all race and gender groups excepting the 85 and older age group.<br />
__________________________________________________________________________________________________________________<br />
Page 78 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT DEATHS<br />
Table 5.10: Death Counts and Crude Death Rates by Age Group, Gender, and Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Number <strong>of</strong> Deaths Rate +<br />
Male Female Male Female<br />
Age Group (Years) White Black Other White Black Other White Black White Black<br />
Under 1 Year 1 118 209 8 119 149 1 623.7 1375.7 656.0 1017.8<br />
1-4 23 45 1 9 28 1 31.2 82.7 12.7 53.6<br />
5-14 33 46 1 19 35 1 17.4 34.2 10.6 26.9<br />
15-24 347 259 6 118 91 4 164.2 190.0 58.1 66.0<br />
25-34 344 352 7 143 166 4 181.0 380.1 77.1 156.7<br />
35-44 692 520 8 368 347 6 320.6 556.2 170.5 312.3<br />
45-54 1293 942 23 670 698 10 605.5 1108.0 313.1 690.8<br />
55-64 1949 1158 25 1249 835 17 1292.5 2449.9 786.2 1405.3<br />
65-74 2904 1214 28 2368 1090 31 3066.2 4435.7 2092.0 2769.1<br />
75-84 4144 1252 26 4493 1447 22 7346.0 8743.6 5207.6 5762.0<br />
85 & Older 2384 702 21 5160 1490 24 17511.4 16261.3 15419.6 14786.1<br />
Unknown 0 0 0 0 0 0 0 0 0 0<br />
Total 14231 6699 154 14716 6376 121 996.2 950.4 995.2 810.1<br />
+<br />
Rate per 100,000 race/gender/age-specific population. <strong>2003</strong> census estimates were used for the calculation <strong>of</strong> age-specific rates.<br />
1<br />
Death rates for “Under 1 Year” (based on population estimates) differ from Infant Mortality Rates (based on live births)<br />
**** In cell indicates count is greater than 0 and less than 5.<br />
Note: Rates were not calculated for records with age missing as there is no denominator with which to calculate the rate.<br />
The rates for “Other” were not calculated due to low frequency and unreliability <strong>of</strong> race coding, which create instability.<br />
Mortality by Selected Causes <strong>of</strong> Death: Crude and Age-Adjusted Rates<br />
Table 5.11 on the following pages describes deaths to <strong>Louisiana</strong> residents in <strong>2003</strong> from a number <strong>of</strong> selected causes. For each<br />
<strong>of</strong> the selected causes <strong>of</strong> death, the table includes counts for each gender/race/age group, and crude and age-adjusted death<br />
rates for all groups combined.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 79
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
All causes<br />
Certain other intestinal<br />
infections (A04,A07-A09)<br />
Tuberculosis(A16-A19)<br />
Respiratory tuberculosis (A16)<br />
Meningococcal infection (A39)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
42297 940.7 ALL 604 107 61 74 330 495 1016 1941 3636 5233 7635 11384 9781 0<br />
14231 WM 118 23 17 16 135 212 344 692 1293 1949 2904 4144 2384 0<br />
14716 WF 119 9 9 10 58 60 143 368 670 1249 2368 4493 5160 0<br />
6699 BM 209 45 22 24 101 158 352 520 942 1158 1214 1252 702 0<br />
6376 BF 149 28 12 23 34 57 166 347 698 835 1090 1447 1490 0<br />
154 OM 8 **** **** 0 0 6 7 8 23 25 28 26 21 0<br />
121 OF **** **** 0 **** **** **** **** 6 10 17 31 22 24 0<br />
17 0.4 ALL **** 0 0 0 0 0 0 0 0 0 **** 11 **** 0<br />
6 WM 0 0 0 0 0 0 0 0 0 0 **** 5 0 0<br />
8 WF 0 0 0 0 0 0 0 0 0 0 **** 5 **** 0<br />
2 BM **** 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
1 BF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
18 0.4 ALL 0 0 0 0 0 0 0 0 **** **** **** 6 **** 0<br />
6 WM 0 0 0 0 0 0 0 0 **** **** **** **** 0 0<br />
7 WF 0 0 0 0 0 0 0 0 **** 0 **** **** **** 0<br />
4 BM 0 0 0 0 0 0 0 0 0 **** **** **** 0 0<br />
1 BF 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
17 0.4 ALL 0 0 0 0 0 0 0 0 **** **** **** 6 **** 0<br />
6 WM 0 0 0 0 0 0 0 0 **** **** **** **** 0 0<br />
7 WF 0 0 0 0 0 0 0 0 **** 0 **** **** **** 0<br />
4 BM 0 0 0 0 0 0 0 0 0 **** **** **** 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
4 0.1 ALL 0 **** **** **** **** 0 0 0 0 0 0 0 0 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 WF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 BM 0 0 **** 0 0 0 0 0 0 0 0 0 0 0<br />
3 BF 0 **** 0 **** **** 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 80 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Septicemia (A40-A41)<br />
Viral hepatitis<br />
(B15-B19)<br />
Human immunodeficiency<br />
virus (HIV) disease<br />
(B20-B24)<br />
Other and unspecified<br />
infectious and parasitic<br />
diseases and their sequelae<br />
(Other in A00-B99)<br />
Malignant neoplasms (C00-<br />
C97)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
811 18 ALL 8 **** **** 0 **** **** 12 16 73 83 129 248 235 0<br />
201 WM 0 0 0 0 **** 0 **** **** 19 22 38 68 48 0<br />
293 WF **** 0 **** 0 0 **** **** **** 18 24 35 98 108 0<br />
146 BM **** 0 **** 0 0 **** **** 6 16 23 31 39 23 0<br />
167 BF **** 0 0 0 **** 0 **** 5 20 14 25 41 55 0<br />
1 OM 0 **** 0 0 0 0 0 0 0 0 0 0 0 0<br />
3 OF 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
130 2.9 ALL 0 0 0 0 0 0 **** 20 54 24 18 11 **** 0<br />
57 WM 0 0 0 0 0 0 0 11 26 10 8 **** 0 0<br />
30 WF 0 0 0 0 0 0 **** **** 8 **** 8 5 **** 0<br />
22 BM 0 0 0 0 0 0 0 5 9 7 **** 0 0 0<br />
20 BF 0 0 0 0 0 0 0 **** 11 **** **** **** 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
389 8.7 ALL 0 0 **** 0 **** 5 71 160 94 43 13 **** 0 0<br />
71 WM 0 0 0 0 0 **** 11 28 17 10 **** 0 0 0<br />
14 WF 0 0 0 0 0 0 **** 9 **** **** 0 0 0 0<br />
218 BM 0 0 **** 0 0 **** 33 92 58 24 8 **** 0 0<br />
85 BF 0 0 0 0 **** **** 26 31 17 6 **** 0 0 0<br />
1 OM 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
117 2.6 ALL 5 **** 0 0 **** **** **** **** 16 18 16 34 19 0<br />
49 WM **** 0 0 0 0 **** **** **** 6 6 7 19 5 0<br />
30 WF **** 0 0 0 0 0 0 0 **** 5 5 7 11 0<br />
19 BM **** 0 0 0 **** 0 **** 0 5 **** **** **** **** 0<br />
18 BF **** **** 0 0 0 0 0 **** **** **** **** 5 **** 0<br />
1 OM 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
9459 210.4 ALL **** 5 7 **** 10 15 69 313 1007 1740 2440 2656 1193 0<br />
3511 WM **** **** **** **** **** **** 18 90 334 662 957 1066 373 0<br />
3065 WF 0 **** **** 0 **** **** 18 99 253 467 780 955 484 0<br />
1492 BM 0 **** 0 0 5 5 13 44 213 338 387 327 158 0<br />
1337 BF **** **** **** **** **** **** 20 78 201 258 306 295 170 0<br />
25 OM 0 0 0 0 0 0 0 0 **** 7 **** 9 **** 0<br />
29 OF 0 0 0 0 0 0 0 **** **** 8 7 **** **** 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 81
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Malignant neoplasms <strong>of</strong> lip,<br />
oral cavity and pharynx<br />
(C00-C14)<br />
Malignant neoplasm <strong>of</strong><br />
esophagus (C15)<br />
Malignant neoplasm <strong>of</strong><br />
stomach (C16)<br />
Malignant neoplasms <strong>of</strong> colon,<br />
rectum and anus (C18-C21)<br />
Malignant neoplasms <strong>of</strong> liver<br />
and intrahepatic bile ducts<br />
(C22)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
140 3.1 ALL 0 0 0 0 0 0 **** 7 32 35 37 14 14 0<br />
64 WM 0 0 0 0 0 0 0 **** 17 14 18 9 **** 0<br />
23 WF 0 0 0 0 0 0 0 **** **** **** 9 **** **** 0<br />
38 BM 0 0 0 0 0 0 **** **** 10 13 6 **** 5 0<br />
13 BF 0 0 0 0 0 0 0 **** **** **** **** 0 **** 0<br />
2 OM 0 0 0 0 0 0 0 0 0 **** 0 **** 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
202 4.5 ALL 0 0 0 0 0 0 **** **** 25 53 58 54 7 0<br />
117 WM 0 0 0 0 0 0 **** **** 15 30 37 30 **** 0<br />
29 WF 0 0 0 0 0 0 0 **** **** **** 9 12 **** 0<br />
41 BM 0 0 0 0 0 0 0 0 7 20 7 7 0 0<br />
14 BF 0 0 0 0 0 0 0 0 **** **** 5 5 **** 0<br />
1 OM 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
210 4.7 ALL 0 0 0 0 0 0 **** **** 22 37 40 68 38 0<br />
58 WM 0 0 0 0 0 0 0 0 8 11 16 17 6 0<br />
39 WF 0 0 0 0 0 0 0 **** **** 7 **** 16 10 0<br />
66 BM 0 0 0 0 0 0 0 **** 6 16 12 21 10 0<br />
41 BF 0 0 0 0 0 0 **** **** **** **** 9 13 11 0<br />
3 OM 0 0 0 0 0 0 0 0 0 **** **** **** 0 0<br />
3 OF 0 0 0 0 0 0 0 0 **** 0 0 0 **** 0<br />
994 22.1 ALL 0 0 0 0 0 **** 5 26 106 155 230 295 176 0<br />
362 WM 0 0 0 0 0 0 **** 10 41 66 89 107 48 0<br />
319 WF 0 0 0 0 0 0 **** 6 22 39 66 99 86 0<br />
142 BM 0 0 0 0 0 **** **** **** 20 26 39 34 16 0<br />
166 BF 0 0 0 0 0 0 **** 6 23 23 34 54 25 0<br />
2 OM 0 0 0 0 0 0 0 0 0 **** 0 **** 0 0<br />
3 OF 0 0 0 0 0 0 0 0 0 0 **** 0 **** 0<br />
269 6 ALL 0 **** **** 0 0 0 **** 11 50 44 59 76 24 0<br />
137 WM 0 **** **** 0 0 0 **** 5 24 19 34 40 12 0<br />
57 WF 0 0 0 0 0 0 0 **** 5 6 10 26 9 0<br />
49 BM 0 0 0 0 0 0 0 **** 15 14 10 6 **** 0<br />
24 BF 0 0 **** 0 0 0 **** **** 6 **** 5 **** **** 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 82 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Malignant neoplasm <strong>of</strong><br />
pancreas (C25)<br />
Malignant neoplasm <strong>of</strong> larynx<br />
(C32)<br />
Malignant neoplasms <strong>of</strong><br />
trachea, bronchus and lung<br />
(C33-C34)<br />
Malignant melanoma <strong>of</strong> skin<br />
(C43)<br />
Malignant neoplasm <strong>of</strong> breast<br />
(C50)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
512 11.4 ALL 0 0 0 0 0 0 **** 14 42 93 154 148 60 0<br />
186 WM 0 0 0 0 0 0 0 5 19 35 56 57 14 0<br />
172 WF 0 0 0 0 0 0 0 7 11 21 49 58 26 0<br />
67 BM 0 0 0 0 0 0 **** **** 10 16 21 11 6 0<br />
87 BF 0 0 0 0 0 0 0 0 **** 21 28 22 14 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
90 2 ALL 0 0 0 0 0 0 0 **** 12 23 26 22 6 0<br />
35 WM 0 0 0 0 0 0 0 0 5 6 14 9 **** 0<br />
16 WF 0 0 0 0 0 0 0 0 **** **** 9 **** **** 0<br />
32 BM 0 0 0 0 0 0 0 **** **** 14 **** 10 **** 0<br />
6 BF 0 0 0 0 0 0 0 0 **** **** **** 0 **** 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2844 63.3 ALL 0 0 0 0 0 0 **** 67 272 611 860 804 227 0<br />
1216 WM 0 0 0 0 0 0 0 21 101 263 374 362 95 0<br />
859 WF 0 0 0 0 0 0 **** 22 56 151 261 285 81 0<br />
485 BM 0 0 0 0 0 0 0 14 71 127 148 95 30 0<br />
270 BF 0 0 0 0 0 0 0 9 43 66 75 58 19 0<br />
8 OM 0 0 0 0 0 0 0 0 **** **** **** **** **** 0<br />
6 OF 0 0 0 0 0 0 0 **** 0 **** 0 **** **** 0<br />
91 2 ALL 0 0 0 0 0 **** **** 9 10 19 18 21 10 0<br />
62 WM 0 0 0 0 0 0 **** 7 7 13 13 16 **** 0<br />
20 WF 0 0 0 0 0 0 0 0 **** **** 5 **** 6 0<br />
3 BM 0 0 0 0 0 0 0 **** 0 **** 0 **** 0 0<br />
6 BF 0 0 0 0 0 **** 0 **** **** **** 0 **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
759 16.9 ALL 0 0 0 0 0 0 10 59 126 161 146 159 98 0<br />
9 WM 0 0 0 0 0 0 0 0 **** **** 0 0 **** 0<br />
466 WF 0 0 0 0 0 0 **** 27 63 98 99 112 63 0<br />
2 BM 0 0 0 0 0 0 **** 0 0 0 **** 0 0 0<br />
277 BF 0 0 0 0 0 0 5 32 60 59 44 46 31 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
5 OF 0 0 0 0 0 0 0 0 0 **** **** **** **** 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 83
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Malignant neoplasm <strong>of</strong> cervix<br />
uteri (C53)<br />
Malignant neoplasms <strong>of</strong><br />
corpus uteri and uterus,part<br />
unspecified<br />
(C54-C55)<br />
Malignant neoplasm <strong>of</strong> ovary<br />
(C56)<br />
Malignant neoplasm <strong>of</strong><br />
prostate (C61)<br />
Malignant neoplasms <strong>of</strong><br />
kidney and renal pelvis (C64-<br />
C65)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
66 1.5 ALL 0 0 0 0 0 **** 5 18 9 17 8 6 **** 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
29 WF 0 0 0 0 0 **** **** 7 **** 9 **** **** **** 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
36 BF 0 0 0 0 0 0 **** 11 5 8 **** **** 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
84 1.9 ALL 0 0 0 0 0 0 0 **** 5 16 23 26 12 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
42 WF 0 0 0 0 0 0 0 **** **** 8 14 13 **** 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
41 BF 0 0 0 0 0 0 0 **** **** 7 9 13 8 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
222 4.9 ALL 0 0 0 0 0 0 **** 6 30 31 59 68 24 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
169 WF 0 0 0 0 0 0 **** **** 18 23 47 53 21 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
51 BF 0 0 0 0 0 0 **** **** 11 8 11 15 **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 OF 0 0 0 0 0 0 0 0 **** 0 **** 0 0 0<br />
456 10.1 ALL 0 0 0 0 0 0 0 0 8 39 105 163 141 0<br />
261 WM 0 0 0 0 0 0 0 0 **** 18 55 102 82 0<br />
0 WF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
191 BM 0 0 0 0 0 0 0 0 **** 20 50 61 56 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
4 OM 0 0 0 0 0 0 0 0 0 **** 0 0 **** 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
233 5.2 ALL 0 **** 0 0 0 0 **** 7 23 60 59 56 26 0<br />
106 WM 0 0 0 0 0 0 0 **** 11 31 29 26 7 0<br />
71 WF 0 **** 0 0 0 0 0 **** 5 15 17 20 10 0<br />
34 BM 0 0 0 0 0 0 **** **** 5 8 8 7 **** 0<br />
21 BF 0 0 0 0 0 0 0 0 **** 5 5 **** 6 0<br />
1 OM 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 84 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Malignant neoplasm <strong>of</strong><br />
bladder (C67)<br />
Malignant neoplasms <strong>of</strong><br />
meninges, brain and other<br />
parts <strong>of</strong> central nervous<br />
system (C70-C72)<br />
Malignant neoplasms <strong>of</strong><br />
lymphoid, hematopoietic and<br />
related tissue<br />
(C81-C96)<br />
Hodgkin's disease (C81)<br />
Non-Hodgkin's lymphoma<br />
(C82-C85)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
158 3.5 ALL 0 0 0 0 0 0 0 **** 8 18 35 60 35 0<br />
93 WM 0 0 0 0 0 0 0 **** **** 14 19 38 16 0<br />
38 WF 0 0 0 0 0 0 0 0 0 **** 6 14 15 0<br />
18 BM 0 0 0 0 0 0 0 0 **** 0 9 5 **** 0<br />
9 BF 0 0 0 0 0 0 0 0 **** **** **** **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
211 4.7 ALL 0 **** **** **** **** 0 12 21 35 45 46 37 9 0<br />
98 WM 0 0 0 0 0 0 7 13 17 23 17 16 5 0<br />
79 WF 0 0 **** 0 0 0 **** 5 11 14 23 18 **** 0<br />
14 BM 0 **** 0 0 **** 0 **** **** **** **** **** **** 0 0<br />
18 BF 0 **** 0 **** 0 0 0 **** **** 5 **** **** 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 OF 0 0 0 0 0 0 0 0 **** **** 0 0 0 0<br />
850 18.9 ALL **** 0 **** 0 5 **** 12 23 75 116 217 274 121 0<br />
322 WM **** 0 0 0 **** **** **** 9 21 49 94 112 29 0<br />
276 WF 0 0 0 0 **** **** **** 5 15 28 60 102 62 0<br />
134 BM 0 0 0 0 **** **** **** 6 26 25 28 32 11 0<br />
113 BF **** 0 **** 0 **** **** **** **** 13 12 33 27 19 0<br />
2 OM 0 0 0 0 0 0 0 0 0 **** 0 **** 0 0<br />
3 OF 0 0 0 0 0 0 0 0 0 **** **** 0 0 0<br />
17 0.4 ALL 0 0 0 0 0 **** **** **** **** **** **** 5 5 0<br />
8 WM 0 0 0 0 0 0 **** **** 0 **** **** **** **** 0<br />
6 WF 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
1 BM 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
1 BF 0 0 0 0 0 **** 0 0 0 0 0 0 0 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
315 7 ALL 0 0 0 0 0 **** 5 8 25 43 73 111 48 0<br />
128 WM 0 0 0 0 0 **** **** **** 9 16 36 46 16 0<br />
116 WF 0 0 0 0 0 **** 0 **** **** 14 20 50 25 0<br />
29 BM 0 0 0 0 0 0 **** **** 8 6 6 **** **** 0<br />
41 BF 0 0 0 0 0 0 0 **** **** 7 10 13 6 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 85
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Leukemia (C91-C95)<br />
Multiple myeloma and<br />
immunoproliferative<br />
neoplasms (C88,C90)<br />
Other and unspecified<br />
malignant neoplasms <strong>of</strong><br />
lymphoid, hematopoietic and<br />
related tissue (C96)<br />
All other and unspecified<br />
malignant neoplasms (Other<br />
in C00-C97)<br />
In situ neoplasms,benign<br />
neoplasms and neoplasms <strong>of</strong><br />
uncertain or unknown<br />
behavior (D00-D48)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
304 6.8 ALL **** 0 **** 0 5 **** 6 11 22 39 79 93 45 0<br />
116 WM **** 0 0 0 **** 0 **** 5 5 19 39 38 6 0<br />
106 WF 0 0 0 0 **** 0 **** **** 9 11 21 35 25 0<br />
47 BM 0 0 0 0 **** **** **** **** 6 6 9 17 **** 0<br />
32 BF **** 0 **** 0 **** 0 **** **** **** **** 9 **** 10 0<br />
1 OM 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
2 OF 0 0 0 0 0 0 0 0 0 **** **** 0 0 0<br />
212 4.7 ALL 0 0 0 0 0 0 0 **** 27 33 63 65 22 0<br />
69 WM 0 0 0 0 0 0 0 0 7 13 18 26 5 0<br />
47 WF 0 0 0 0 0 0 0 **** **** **** 18 15 8 0<br />
57 BM 0 0 0 0 0 0 0 **** 11 13 13 13 6 0<br />
39 BF 0 0 0 0 0 0 0 0 7 **** 14 11 **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 0 ALL 0 0 0 0 0 0 0 **** 0 0 0 0 **** 0<br />
1 WM 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
1 WF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1068 23.8 ALL 0 **** **** **** **** 8 7 33 117 167 260 305 163 0<br />
385 WM 0 0 **** **** **** **** **** 10 37 67 92 125 48 0<br />
361 WF 0 0 **** 0 0 **** **** 8 30 35 90 118 75 0<br />
176 BM 0 **** 0 0 **** **** **** 7 31 36 43 35 17 0<br />
144 BF 0 0 0 0 0 **** **** 7 19 29 35 26 23 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 OF 0 0 0 0 0 0 0 **** 0 0 0 **** 0 0<br />
220 4.9 ALL **** **** 0 **** **** **** **** 10 13 22 36 75 50 0<br />
78 WM **** 0 0 **** 0 **** **** 6 5 7 16 31 9 0<br />
86 WF 0 0 0 **** **** 0 **** **** **** 6 10 29 34 0<br />
30 BM 0 **** 0 0 0 0 **** **** **** 5 **** 10 **** 0<br />
25 BF 0 0 0 **** 0 **** 0 **** **** **** 6 5 **** 0<br />
1 OM 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 86 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Anemias (D50-D64)<br />
Diabetes mellitus (E10-E14)<br />
Nutritional deficiencies (E40-<br />
E64)<br />
Malnutrition (E40-E46)<br />
Othe nutritional<br />
deficiencies<br />
(E50-E64)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
79 1.8 ALL 0 0 **** 0 0 **** 8 **** 10 6 7 16 25 0<br />
12 WM 0 0 0 0 0 0 0 0 **** **** **** **** **** 0<br />
25 WF 0 0 0 0 0 0 0 0 **** 0 **** 6 15 0<br />
22 BM 0 0 **** 0 0 0 6 **** 5 0 **** **** **** 0<br />
19 BF 0 0 0 0 0 **** **** 0 **** **** **** **** **** 0<br />
1 OM 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1730 38.5 ALL 0 0 0 0 **** **** 11 50 136 297 453 475 305 0<br />
439 WM 0 0 0 0 **** 0 **** 12 31 73 131 133 57 0<br />
509 WF 0 0 0 0 0 0 0 5 21 61 120 165 137 0<br />
311 BM 0 0 0 0 **** 0 6 14 45 71 80 66 28 0<br />
456 BF 0 0 0 0 0 **** **** 19 38 88 118 109 79 0<br />
8 OM 0 0 0 0 0 0 0 0 0 **** **** **** **** 0<br />
7 OF 0 0 0 0 0 0 0 0 **** 0 **** **** **** 0<br />
106 2.4 ALL 0 0 0 0 0 0 0 **** **** 7 14 35 45 0<br />
19 WM 0 0 0 0 0 0 0 0 0 **** **** 7 9 0<br />
41 WF 0 0 0 0 0 0 0 **** 0 **** 7 12 18 0<br />
20 BM 0 0 0 0 0 0 0 0 **** **** **** 9 **** 0<br />
26 BF 0 0 0 0 0 0 0 0 **** 0 **** 7 14 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
104 2.3 ALL 0 0 0 0 0 0 0 **** **** 7 14 34 44 0<br />
18 WM 0 0 0 0 0 0 0 0 0 **** **** 6 9 0<br />
40 WF 0 0 0 0 0 0 0 **** 0 **** 7 12 17 0<br />
20 BM 0 0 0 0 0 0 0 0 **** **** **** 9 **** 0<br />
26 BF 0 0 0 0 0 0 0 0 **** 0 **** 7 14 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 0 ALL 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
1 WM 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
1 WF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 87
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Meningitis (G00,G03)<br />
Parkinson's disease<br />
(G20-G21)<br />
Alzheimer's disease<br />
(G30)<br />
Major cardiovascular disease<br />
(I00-I78)<br />
Diseases <strong>of</strong> heart<br />
(I00-I09,I11,I13,I20-I51)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
16 0.4 ALL **** **** 0 0 **** **** **** 0 **** **** **** 0 **** 0<br />
5 WM **** 0 0 0 **** 0 0 0 0 **** **** 0 **** 0<br />
5 WF 0 0 0 0 **** 0 **** 0 **** 0 **** 0 **** 0<br />
3 BM 0 **** 0 0 0 0 0 0 0 **** 0 0 **** 0<br />
3 BF 0 0 0 0 0 **** **** 0 0 0 **** 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
269 6 ALL 0 0 0 0 0 0 0 0 **** 10 54 127 76 0<br />
129 WM 0 0 0 0 0 0 0 0 0 8 24 69 28 0<br />
96 WF 0 0 0 0 0 0 0 0 **** **** 15 42 36 0<br />
22 BM 0 0 0 0 0 0 0 0 0 0 8 10 **** 0<br />
20 BF 0 0 0 0 0 0 0 0 **** 0 5 6 8 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
1176 26.2 ALL 0 0 0 0 0 0 0 0 **** 14 85 468 608 0<br />
305 WM 0 0 0 0 0 0 0 0 0 5 34 138 128 0<br />
675 WF 0 0 0 0 0 0 0 0 **** 8 37 252 377 0<br />
61 BM 0 0 0 0 0 0 0 0 0 **** 5 33 22 0<br />
133 BF 0 0 0 0 0 0 0 0 0 0 8 45 80 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 OF 0 0 0 0 0 0 0 0 0 0 **** 0 **** 0<br />
14889 331.1 ALL 24 6 **** 6 12 17 100 427 1092 1690 2615 4434 4462 0<br />
4922 WM **** **** **** 0 5 6 29 138 388 650 1024 1601 1075 0<br />
5425 WF 5 0 0 **** 0 **** 14 65 147 323 730 1724 2414 0<br />
2095 BM 6 **** **** **** **** **** 29 124 308 420 447 475 275 0<br />
2360 BF 9 **** **** **** **** 5 26 99 233 287 389 614 687 0<br />
53 OM 0 0 **** 0 0 **** **** **** 13 6 13 11 6 0<br />
34 OF 0 0 0 0 0 0 **** 0 **** **** 12 9 5 0<br />
11440 254.4 ALL 19 **** **** 6 11 13 77 340 889 1361 2044 3358 3316 0<br />
4027 WM **** **** **** 0 **** 6 27 128 342 561 856 1278 820 0<br />
4042 WF **** 0 0 **** 0 **** 9 45 115 256 547 1289 1775 0<br />
1588 BM 5 0 0 **** **** **** 21 93 242 336 343 337 203 0<br />
1714 BF 8 **** **** **** **** **** 18 73 175 201 280 439 509 0<br />
47 OM 0 0 **** 0 0 **** **** **** 12 6 11 9 5 0<br />
22 OF 0 0 0 0 0 0 **** 0 **** **** 7 6 **** 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 88 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Acute rheumatic fever and<br />
chronic<br />
diseases<br />
(I00-I09)<br />
rheumatic heart<br />
Hypertensive heart<br />
disease<br />
(I11)<br />
Hypertensive heart and renal<br />
disease (I13)<br />
Ischemic heart<br />
diseases<br />
(I20-I25)<br />
Acute myocardial<br />
infarction (I21-I22)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
31 0.7 ALL 0 0 0 **** **** 0 0 **** **** **** **** 15 **** 0<br />
7 WM 0 0 0 0 0 0 0 0 **** **** 0 **** **** 0<br />
16 WF 0 0 0 0 0 0 0 0 **** **** **** 12 0 0<br />
4 BM 0 0 0 0 **** 0 0 **** **** 0 0 0 0 0<br />
4 BF 0 0 0 **** 0 0 0 0 0 **** **** 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
700 15.6 ALL 0 0 0 0 0 0 5 34 80 89 129 195 168 0<br />
132 WM 0 0 0 0 0 0 0 7 15 22 34 32 22 0<br />
243 WF 0 0 0 0 0 0 0 5 11 20 30 78 99 0<br />
133 BM 0 0 0 0 0 0 **** 10 23 28 32 32 7 0<br />
192 BF 0 0 0 0 0 0 **** 12 31 19 33 53 40 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
84 1.9 ALL 0 0 0 0 0 0 **** **** 6 6 15 31 21 0<br />
17 WM 0 0 0 0 0 0 0 **** 0 **** **** 9 **** 0<br />
17 WF 0 0 0 0 0 0 0 0 0 0 **** 7 8 0<br />
24 BM 0 0 0 0 0 0 **** **** **** **** 7 5 **** 0<br />
26 BF 0 0 0 0 0 0 0 0 **** **** **** 10 8 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
7153 159.1 ALL 0 **** 0 0 **** **** 31 199 590 970 1331 2106 1919 0<br />
2767 WM 0 0 0 0 **** **** 11 86 259 435 603 865 505 0<br />
2351 WF 0 0 0 0 0 0 **** 20 70 169 336 771 982 0<br />
1020 BM 0 0 0 0 0 **** 10 55 164 233 226 213 118 0<br />
967 BF 0 **** 0 0 **** **** 6 37 88 126 157 244 306 0<br />
34 OM 0 0 0 0 0 0 **** **** 8 6 6 8 **** 0<br />
14 OF 0 0 0 0 0 0 0 0 **** **** **** 5 **** 0<br />
3485 77.5 ALL 0 0 0 0 **** **** 19 131 347 600 686 927 772 0<br />
1353 WM 0 0 0 0 0 0 5 53 146 271 319 363 196 0<br />
1064 WF 0 0 0 0 0 0 **** 14 40 104 167 343 395 0<br />
557 BM 0 0 0 0 0 **** 9 38 106 145 112 96 50 0<br />
481 BF 0 0 0 0 **** **** **** 25 47 75 81 121 127 0<br />
24 OM 0 0 0 0 0 0 **** **** 7 **** 5 **** **** 0<br />
6 OF 0 0 0 0 0 0 0 0 **** **** **** **** **** 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 89
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Other acute ischemic heart<br />
diseases (I24)<br />
Other forms <strong>of</strong> chronic<br />
ischemic heart disease<br />
(I20,I25)<br />
Atherosclerotic cardiovascular<br />
disease, so described (I25.0)<br />
All other forms <strong>of</strong> chronic<br />
ischemic heart disease<br />
(I20,I25.1-I25.9)<br />
Other heart diseases (I26-I51)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
51 1.1 ALL 0 0 0 0 0 **** **** **** 6 5 6 17 12 0<br />
13 WM 0 0 0 0 0 **** 0 **** **** **** 0 5 0 0<br />
22 WF 0 0 0 0 0 0 0 **** **** **** **** 6 10 0<br />
10 BM 0 0 0 0 0 0 0 **** **** 0 **** **** **** 0<br />
6 BF 0 0 0 0 0 0 **** 0 **** **** 0 **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
3617 80.4 ALL 0 **** 0 0 **** **** 11 65 237 365 639 1162 1135 0<br />
1401 WM 0 0 0 0 **** **** 6 32 110 161 284 497 309 0<br />
1265 WF 0 0 0 0 0 0 **** 5 29 64 166 422 577 0<br />
453 BM 0 0 0 0 0 0 **** 16 57 88 111 113 67 0<br />
480 BF 0 **** 0 0 0 0 **** 12 40 50 76 121 178 0<br />
10 OM 0 0 0 0 0 0 0 0 **** **** **** 5 **** 0<br />
8 OF 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
1194 26.6 ALL 0 0 0 0 0 0 6 31 92 140 188 315 422 0<br />
433 WM 0 0 0 0 0 0 **** 18 51 63 83 123 92 0<br />
414 WF 0 0 0 0 0 0 **** **** 10 24 46 111 220 0<br />
161 BM 0 0 0 0 0 0 **** 8 13 35 36 40 28 0<br />
179 BF 0 0 0 0 0 0 **** **** 17 16 22 40 80 0<br />
4 OM 0 0 0 0 0 0 0 0 **** **** **** 0 0 0<br />
3 OF 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
2423 53.9 ALL 0 **** 0 0 **** **** 5 34 145 225 451 847 713 0<br />
968 WM 0 0 0 0 **** **** **** 14 59 98 201 374 217 0<br />
851 WF 0 0 0 0 0 0 **** **** 19 40 120 311 357 0<br />
292 BM 0 0 0 0 0 0 0 8 44 53 75 73 39 0<br />
301 BF 0 **** 0 0 0 0 **** 9 23 34 54 81 98 0<br />
6 OM 0 0 0 0 0 0 0 0 0 0 0 5 **** 0<br />
5 OF 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
3472 77.2 ALL 19 **** **** 5 8 9 40 101 210 292 565 1011 1207 0<br />
1104 WM **** **** **** 0 **** **** 16 34 67 100 217 369 289 0<br />
1415 WF **** 0 0 **** 0 **** 6 20 33 66 177 421 686 0<br />
407 BM 5 0 0 **** **** **** 9 23 51 72 78 87 76 0<br />
525 BF 8 **** **** **** **** **** 8 24 53 54 84 132 155 0<br />
13 OM 0 0 **** 0 0 **** 0 0 **** 0 5 **** **** 0<br />
8 OF 0 0 0 0 0 0 **** 0 **** 0 **** **** 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 90 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Acute and subacute<br />
endocarditis (I33)<br />
Diseases <strong>of</strong> pericardium and<br />
acute myocarditis<br />
(I30-I31,I40)<br />
Heart failure (I50)<br />
All other forms <strong>of</strong> heart<br />
disease (I26-I28,I34-I38,I42-<br />
I49,I51)<br />
Essential (primary)<br />
hypertension and<br />
hypertensive renal disease<br />
(I10,I12)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
17 0.4 ALL 0 0 0 0 0 **** 0 **** **** 0 **** **** **** 0<br />
4 WM 0 0 0 0 0 0 0 **** 0 0 **** 0 **** 0<br />
10 WF 0 0 0 0 0 **** 0 **** **** 0 **** **** **** 0<br />
2 BM 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
1 BF 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
13 0.3 ALL **** 0 0 0 **** 0 **** **** **** **** 0 **** 0 0<br />
3 WM 0 0 0 0 **** 0 0 **** 0 **** 0 0 0 0<br />
2 WF 0 0 0 0 0 0 0 0 **** 0 0 **** 0 0<br />
5 BM 0 0 0 0 0 0 **** **** 0 **** 0 0 0 0<br />
3 BF **** 0 0 0 0 0 0 **** 0 0 0 **** 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1430 31.8 ALL **** 0 0 0 **** **** **** 8 39 89 209 437 638 0<br />
442 WM 0 0 0 0 0 **** **** 0 14 30 83 160 152 0<br />
657 WF 0 0 0 0 0 0 **** **** **** 21 64 187 379 0<br />
137 BM **** 0 0 0 **** 0 **** **** 10 22 28 35 36 0<br />
191 BF **** 0 0 0 **** 0 0 5 10 16 32 55 71 0<br />
1 OM 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
2 OF 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
2012 44.7 ALL 16 **** **** 5 5 6 34 86 166 201 353 569 566 0<br />
655 WM **** **** **** 0 **** **** 15 31 53 69 133 209 136 0<br />
746 WF **** 0 0 **** 0 **** 5 18 27 45 111 230 305 0<br />
263 BM **** 0 0 **** **** **** 5 19 39 49 50 52 40 0<br />
330 BF 6 **** **** **** **** **** 8 18 42 38 52 76 84 0<br />
12 OM 0 0 **** 0 0 **** 0 0 **** 0 5 **** **** 0<br />
6 OF 0 0 0 0 0 0 **** 0 **** 0 **** **** 0 0<br />
354 7.9 ALL 0 0 0 0 0 **** 8 12 22 37 65 109 100 0<br />
62 WM 0 0 0 0 0 0 0 **** 6 5 14 25 11 0<br />
119 WF 0 0 0 0 0 0 **** **** 0 9 10 41 56 0<br />
75 BM 0 0 0 0 0 0 5 6 11 9 17 15 12 0<br />
95 BF 0 0 0 0 0 **** **** **** 5 13 22 28 21 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
2 OF 0 0 0 0 0 0 0 0 0 **** **** 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 91
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Cerebrovascular diseases<br />
(I60-I69)<br />
Atherosclerosis (I70)<br />
Other diseases <strong>of</strong> circulatory<br />
system<br />
(I71-I78)<br />
Aortic aneurysm and<br />
dissection (I71)<br />
Other diseases <strong>of</strong> arteries,<br />
arterioles and capillaries (I72-<br />
I78)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
2504 55.7 ALL **** **** **** 0 0 **** 13 68 154 253 385 777 844 0<br />
641 WM **** 0 0 0 0 0 **** 8 33 65 103 226 203 0<br />
1030 WF **** 0 0 0 0 0 **** 18 27 48 130 322 480 0<br />
362 BM **** **** **** 0 0 **** **** 21 50 70 71 98 46 0<br />
460 BF 0 **** 0 0 0 **** 5 21 43 68 77 127 115 0<br />
2 OM 0 0 0 0 0 0 0 0 **** 0 0 **** 0 0<br />
9 OF 0 0 0 0 0 0 0 0 0 **** **** **** 0 0<br />
197 4.4 ALL 0 0 0 0 0 0 **** 0 **** 6 27 56 103 0<br />
53 WM 0 0 0 0 0 0 0 0 0 **** 9 20 20 0<br />
94 WF 0 0 0 0 0 0 0 0 **** **** 12 22 57 0<br />
20 BM 0 0 0 0 0 0 0 0 **** **** **** 9 6 0<br />
29 BF 0 0 0 0 0 0 **** 0 **** 0 **** 5 20 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
394 8.8 ALL **** 0 0 0 **** 0 **** 7 23 33 94 134 99 0<br />
139 WM 0 0 0 0 **** 0 0 **** 7 15 42 52 21 0<br />
140 WF **** 0 0 0 0 0 0 0 **** 9 31 50 46 0<br />
50 BM 0 0 0 0 0 0 **** **** **** **** 13 16 8 0<br />
62 BF **** 0 0 0 0 0 0 **** 9 5 8 15 22 0<br />
2 OM 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
202 4.5 ALL 0 0 0 0 **** 0 0 **** 16 19 54 70 38 0<br />
91 WM 0 0 0 0 **** 0 0 0 6 11 26 33 14 0<br />
67 WF 0 0 0 0 0 0 0 0 **** **** 20 27 15 0<br />
20 BM 0 0 0 0 0 0 0 **** **** **** 5 5 **** 0<br />
23 BF 0 0 0 0 0 0 0 **** 7 **** **** **** 7 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
192 4.3 ALL **** 0 0 0 0 0 **** **** 7 14 40 64 61 0<br />
48 WM 0 0 0 0 0 0 0 **** **** **** 16 19 7 0<br />
73 WF **** 0 0 0 0 0 0 0 **** 5 11 23 31 0<br />
30 BM 0 0 0 0 0 0 **** **** **** **** 8 11 6 0<br />
39 BF **** 0 0 0 0 0 0 **** **** **** 5 11 15 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 92 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Other disorders <strong>of</strong> circulatory<br />
system (I80-I99)<br />
Influenza &<br />
pneumonia (J10-J18)<br />
Influenza (J10-J11)<br />
Pneumonia (J12-J18)<br />
Other acute lower respiratory<br />
infections (J20-J22)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
67 1.5 ALL 0 0 0 0 0 0 **** 6 **** 11 12 17 16 0<br />
11 WM 0 0 0 0 0 0 0 **** 0 **** **** **** **** 0<br />
28 WF 0 0 0 0 0 0 **** 0 **** **** **** 12 6 0<br />
13 BM 0 0 0 0 0 0 0 **** **** **** **** **** **** 0<br />
15 BF 0 0 0 0 0 0 0 **** **** **** 5 **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
908 20.2 ALL 6 **** **** **** **** **** 6 14 37 47 112 267 409 0<br />
272 WM **** 0 **** **** 0 0 **** 5 10 17 43 93 99 0<br />
410 WF **** **** **** 0 0 **** **** **** 9 14 36 114 225 0<br />
107 BM **** 0 **** 0 **** 0 0 **** 8 13 20 28 30 0<br />
112 BF **** 0 0 0 **** 0 **** **** 10 **** 13 30 50 0<br />
3 OM 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
4 OF 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
15 0.3 ALL 0 0 **** **** **** 0 **** 0 0 **** **** **** 6 0<br />
5 WM 0 0 **** **** 0 0 0 0 0 **** 0 **** **** 0<br />
7 WF 0 0 0 0 0 0 **** 0 0 0 **** 0 5 0<br />
1 BM 0 0 **** 0 0 0 0 0 0 0 0 0 0 0<br />
2 BF 0 0 0 0 **** 0 0 0 0 0 **** 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
893 19.9 ALL 6 **** **** **** **** **** 5 14 37 46 110 266 403 0<br />
267 WM **** 0 0 **** 0 0 **** 5 10 16 43 92 98 0<br />
403 WF **** **** **** 0 0 **** **** **** 9 14 35 114 220 0<br />
106 BM **** 0 0 0 **** 0 0 **** 8 13 20 28 30 0<br />
110 BF **** 0 0 0 0 0 **** **** 10 **** 12 30 50 0<br />
3 OM 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
4 OF 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
5 0.1 ALL **** **** 0 0 0 0 0 0 0 0 0 0 **** 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 WF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
1 BM 0 **** 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 BF **** 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 93
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Acute bronchitis and<br />
bronchiolitis (J20-J21)<br />
Chronic Lower<br />
Respiratory diseases (J40-<br />
J47)<br />
Bronchitis, chronic and<br />
unspecified (J40-J42)<br />
Emphysema (J43)<br />
Asthma (J45-J46)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
5 0.1 ALL **** **** 0 0 0 0 0 0 0 0 0 0 **** 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 WF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
1 BM 0 **** 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 BF **** 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1708 38 ALL **** **** **** **** 5 **** **** 14 58 202 449 621 346 0<br />
657 WM 0 0 0 0 0 0 0 **** 16 70 191 253 126 0<br />
732 WF 0 0 0 0 **** 0 0 5 19 75 172 284 175 0<br />
171 BM 0 **** **** **** **** **** **** **** 15 35 43 44 22 0<br />
141 BF **** 0 0 0 0 **** **** 7 8 22 40 38 21 0<br />
6 OM 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
17 0.4 ALL **** 0 0 **** 0 0 0 **** **** 0 **** **** 9 0<br />
3 WM 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
9 WF 0 0 0 0 0 0 0 **** 0 0 **** **** 5 0<br />
1 BM 0 0 0 **** 0 0 0 0 0 0 0 0 0 0<br />
4 BF **** 0 0 0 0 0 0 0 **** 0 0 0 **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
229 5.1 ALL 0 0 0 0 0 0 0 **** 12 42 65 75 34 0<br />
92 WM 0 0 0 0 0 0 0 0 **** 16 37 26 10 0<br />
92 WF 0 0 0 0 0 0 0 **** **** 18 18 36 17 0<br />
29 BM 0 0 0 0 0 0 0 0 6 5 **** 9 5 0<br />
13 BF 0 0 0 0 0 0 0 0 **** **** **** **** **** 0<br />
3 OM 0 0 0 0 0 0 0 0 0 0 **** **** 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
62 1.4 ALL **** **** **** **** **** **** **** 5 5 8 10 12 7 0<br />
9 WM 0 0 0 0 0 0 0 **** **** **** **** **** **** 0<br />
17 WF 0 0 0 0 **** 0 0 **** **** **** **** 6 **** 0<br />
16 BM 0 **** **** **** **** **** **** 0 **** **** **** **** 0 0<br />
20 BF **** 0 0 0 0 **** **** **** **** **** 5 **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 94 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Other chronic lower<br />
respiratory diseases (J44,J47)<br />
Pneumoconioses and<br />
chemical effects (J60-<br />
J66,J68)<br />
Pneumonitis due to solids and<br />
liquids (J69)<br />
Other diseases <strong>of</strong> respiratory<br />
system<br />
(J00-J06,J30-J39, J67, J70-<br />
J98)<br />
Peptic ulcer (K25-K28)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
1400 31.1 ALL 0 0 0 0 **** 0 0 7 40 152 372 532 296 0<br />
553 WM 0 0 0 0 0 0 0 0 12 53 153 224 111 0<br />
614 WF 0 0 0 0 0 0 0 **** 16 56 149 241 150 0<br />
125 BM 0 0 0 0 **** 0 0 **** 7 27 38 34 17 0<br />
104 BF 0 0 0 0 0 0 0 **** 5 16 31 32 16 0<br />
3 OM 0 0 0 0 0 0 0 0 0 0 **** 0 **** 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
20 0.4 ALL 0 0 0 0 0 0 0 0 0 **** 7 11 **** 0<br />
17 WM 0 0 0 0 0 0 0 0 0 **** 5 10 **** 0<br />
2 WF 0 0 0 0 0 0 0 0 0 0 **** **** 0 0<br />
1 BM 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
235 5.2 ALL **** 0 0 0 0 **** 0 **** 8 11 28 66 116 0<br />
75 WM 0 0 0 0 0 **** 0 **** **** **** 6 31 30 0<br />
95 WF 0 0 0 0 0 0 0 0 **** **** 13 16 60 0<br />
24 BM **** 0 0 0 0 0 0 0 **** **** 8 5 7 0<br />
41 BF 0 0 0 0 0 **** 0 **** **** **** **** 14 19 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
488 10.9 ALL 8 6 0 0 **** 0 5 10 34 50 102 161 111 0<br />
166 WM **** **** 0 0 0 0 **** **** 8 23 36 71 21 0<br />
211 WF **** 0 0 0 0 0 **** **** 8 15 43 69 70 0<br />
56 BM **** **** 0 0 **** 0 0 **** 7 6 12 12 9 0<br />
49 BF **** **** 0 0 0 0 **** **** 11 **** 9 9 11 0<br />
2 OM **** 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
4 OF 0 0 0 0 0 0 0 **** 0 **** **** 0 0 0<br />
50 1.1 ALL 0 0 0 0 0 0 **** **** 9 8 **** 12 14 0<br />
9 WM 0 0 0 0 0 0 **** 0 **** **** **** **** **** 0<br />
21 WF 0 0 0 0 0 0 0 0 **** **** **** 5 9 0<br />
12 BM 0 0 0 0 0 0 **** 0 **** **** 0 6 0 0<br />
6 BF 0 0 0 0 0 0 0 **** **** 0 0 0 **** 0<br />
2 OM 0 0 0 0 0 0 0 0 **** 0 **** 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 95
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Diseases <strong>of</strong> appendix (K35-<br />
K38)<br />
Hernia (K40-K46)<br />
Chronic liver disease and<br />
cirrhosis<br />
(K70, K73-K74)<br />
Alcoholic liver disease (K70)<br />
Other chronic liver disease<br />
and cirrhosis (K73-K74)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
6 0.1 ALL 0 0 **** **** 0 0 **** 0 0 **** 0 **** **** 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 WF 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
2 BM 0 0 0 **** 0 0 0 0 0 0 0 **** 0 0<br />
3 BF 0 0 **** 0 0 0 0 0 0 **** 0 0 **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
24 0.5 ALL 0 0 0 0 0 0 0 **** **** 0 **** 7 10 0<br />
6 WM 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
12 WF 0 0 0 0 0 0 0 0 **** 0 **** **** 6 0<br />
3 BM 0 0 0 0 0 0 0 0 **** 0 0 **** 0 0<br />
3 BF 0 0 0 0 0 0 0 **** **** 0 0 **** 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
345 7.7 ALL 0 0 0 0 0 0 5 36 104 76 64 46 14 0<br />
169 WM 0 0 0 0 0 0 **** 20 54 41 29 22 **** 0<br />
82 WF 0 0 0 0 0 0 0 **** 19 12 19 21 9 0<br />
66 BM 0 0 0 0 0 0 **** 10 21 20 8 **** **** 0<br />
25 BF 0 0 0 0 0 0 **** **** 9 **** 7 **** 0 0<br />
2 OM 0 0 0 0 0 0 0 0 **** 0 **** 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
126 2.8 ALL 0 0 0 0 0 0 **** 18 47 34 16 8 **** 0<br />
66 WM 0 0 0 0 0 0 0 8 25 19 8 6 0 0<br />
21 WF 0 0 0 0 0 0 0 **** 10 **** **** **** **** 0<br />
32 BM 0 0 0 0 0 0 **** 5 10 10 **** **** 0 0<br />
6 BF 0 0 0 0 0 0 0 **** **** **** 0 0 0 0<br />
1 OM 0 0 0 0 0 0 0 0 **** 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
219 4.9 ALL 0 0 0 0 0 0 **** 18 57 42 48 38 13 0<br />
103 WM 0 0 0 0 0 0 **** 12 29 22 21 16 **** 0<br />
61 WF 0 0 0 0 0 0 0 **** 9 8 15 20 8 0<br />
34 BM 0 0 0 0 0 0 **** 5 11 10 **** **** **** 0<br />
19 BF 0 0 0 0 0 0 **** 0 8 **** 7 **** 0 0<br />
1 OM 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 96 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Cholelithiasis and other<br />
disorders <strong>of</strong> gallbladder (K80-<br />
K82)<br />
Nephritis,nephrotic syndrome<br />
and nephrosis<br />
(N00-N07,N17-N19,N25-N27)<br />
Acute and rapidly<br />
progressive nephritic<br />
and nephrotic<br />
syndrome<br />
(N00-N01,N04)<br />
Chronic glomerulone- phritis,<br />
nephritis & nephritis<br />
unspecified, & renal sclerosis<br />
unspecified<br />
(N02-N03,N05-N07,N26)<br />
Renal failure<br />
(N17-N19)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
43 1 ALL 0 0 0 0 0 0 0 **** 6 6 **** 16 9 0<br />
11 WM 0 0 0 0 0 0 0 0 **** **** **** 7 **** 0<br />
20 WF 0 0 0 0 0 0 0 **** **** **** **** 8 6 0<br />
3 BM 0 0 0 0 0 0 0 0 **** **** **** 0 0 0<br />
9 BF 0 0 0 0 0 0 0 **** **** **** 0 **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1058 23.5 ALL 6 0 0 **** **** **** 7 26 70 145 211 329 260 0<br />
297 WM **** 0 0 0 **** 0 **** 10 11 31 61 112 67 0<br />
311 WF **** 0 0 0 0 0 0 0 7 34 54 106 109 0<br />
189 BM **** 0 0 0 0 **** **** 10 24 36 42 42 30 0<br />
248 BF **** 0 0 **** **** 0 **** 6 27 43 48 67 51 0<br />
7 OM 0 0 0 0 0 0 0 0 **** 0 **** **** **** 0<br />
6 OF 0 0 0 0 0 0 0 0 0 **** **** **** **** 0<br />
0 0 ALL 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 WF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
7 0.2 ALL 0 0 0 0 0 0 0 0 **** 0 **** **** **** 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 WF 0 0 0 0 0 0 0 0 0 0 **** 0 0 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
4 BF 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
2 OM 0 0 0 0 0 0 0 0 **** 0 **** 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1051 23.4 ALL 6 0 0 **** **** **** 7 26 69 145 208 328 258 0<br />
297 WM **** 0 0 0 **** 0 **** 10 11 31 61 112 67 0<br />
310 WF **** 0 0 0 0 0 0 0 7 34 53 106 109 0<br />
189 BM **** 0 0 0 0 **** **** 10 24 36 42 42 30 0<br />
244 BF **** 0 0 **** **** 0 **** 6 27 43 47 66 49 0<br />
5 OM 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
6 OF 0 0 0 0 0 0 0 0 0 **** **** **** **** 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 97
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Infections <strong>of</strong> kidney<br />
(N10-N12, N13.6,<br />
N15.1)<br />
Hyperplasia <strong>of</strong> prostate (N40)<br />
Pregnancy, childbirth and the<br />
puerperium (O00-O99)<br />
Other complications <strong>of</strong><br />
pregnancy, childbirth and the<br />
puerperium (O10-O99)<br />
Certain conditions originating<br />
in the perinatal period (P00-<br />
P96)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
11 0.2 ALL 0 0 0 0 0 0 0 0 0 **** **** 6 **** 0<br />
1 WM 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
4 WF 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
1 BM 0 0 0 0 0 0 0 0 0 0 0 **** 0 0<br />
5 BF 0 0 0 0 0 0 0 0 0 **** 0 **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
10 0.2 ALL 0 0 0 0 0 0 0 0 0 0 **** 5 **** 0<br />
8 WM 0 0 0 0 0 0 0 0 0 0 **** **** **** 0<br />
0 WF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 BM 0 0 0 0 0 0 0 0 0 0 0 **** **** 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
12 0.3 ALL 0 0 0 0 **** **** 5 **** 0 0 0 0 0 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
4 WF 0 0 0 0 0 **** **** **** 0 0 0 0 0 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
8 BF 0 0 0 0 **** **** **** **** 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
11 0.2 ALL 0 0 0 0 **** **** 5 **** 0 0 0 0 0 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
3 WF 0 0 0 0 0 **** **** **** 0 0 0 0 0 0<br />
0 BM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
8 BF 0 0 0 0 **** **** **** **** 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
280 6.2 ALL 279 **** 0 0 0 0 0 0 0 0 0 0 0 0<br />
38 WM 38 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
46 WF 46 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
117 BM 117 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
73 BF 73 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
4 OM **** 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 OF **** **** 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 98 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Congenital malformations,<br />
deformations and<br />
chromosomal abnormalities<br />
(Q00-Q99)<br />
Symptoms, signs and<br />
abnormal clinical and<br />
laboratory findings, not<br />
elsewhere classified (R00-<br />
R99)<br />
All other diseases (Residual)<br />
(Other in D65-N98)<br />
Accidents<br />
(V01-X59,Y85-Y86)<br />
Transport accidents (V01-<br />
V99,Y85)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
198 4.4 ALL 109 11 **** 6 8 **** 6 9 14 9 5 9 6 0<br />
46 WM 25 **** **** **** **** 0 **** **** **** **** **** **** 0 0<br />
57 WF 29 **** 0 **** 0 **** **** 5 **** 5 **** 6 **** 0<br />
51 BM 30 5 **** **** **** 0 **** **** **** 0 **** **** **** 0<br />
40 BF 23 **** 0 **** **** 0 **** 0 5 **** **** 0 **** 0<br />
2 OM **** 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 OF 0 0 0 **** 0 0 0 0 0 0 **** 0 0 0<br />
714 15.9 ALL 84 7 0 **** 0 10 22 32 33 47 67 133 278 0<br />
179 WM 20 **** 0 0 0 7 8 12 15 13 21 33 49 0<br />
303 WF 19 0 0 0 0 **** **** 8 5 10 26 66 166 0<br />
101 BM 23 **** 0 **** 0 **** 9 5 9 14 8 16 12 0<br />
126 BF 21 **** 0 0 0 0 **** 6 **** 10 12 18 48 0<br />
2 OM **** 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
3 OF 0 0 0 0 0 0 0 0 0 0 0 0 **** 0<br />
3321 73.9 ALL 26 16 8 10 26 23 84 174 289 355 481 850 979 0<br />
937 WM 7 **** **** **** 7 7 26 57 105 130 151 259 180 0<br />
1399 WF 5 **** **** **** 5 6 9 34 56 104 187 395 592 0<br />
442 BM 9 6 **** **** 7 **** 24 46 77 65 70 82 48 0<br />
528 BF 5 5 **** **** 7 8 25 37 51 52 71 111 153 0<br />
8 OM 0 0 0 0 0 0 0 0 0 **** **** **** **** 0<br />
7 OF 0 0 0 0 0 0 0 0 0 **** **** **** **** 0<br />
2143 47.7 ALL 33 38 25 27 154 229 294 362 296 204 142 178 161 0<br />
1060 WM 12 11 6 8 89 137 168 195 152 97 70 63 52 0<br />
490 WF 6 **** **** **** 36 29 55 66 49 47 41 75 77 0<br />
396 BM 8 16 10 8 20 46 48 74 67 47 17 23 12 0<br />
175 BF 7 7 6 9 8 14 18 22 25 10 13 16 20 0<br />
14 OM 0 0 0 0 0 **** **** 5 **** **** 0 **** 0 0<br />
8 OF 0 0 0 0 **** **** **** 0 **** **** **** 0 0 0<br />
1011 22.5 ALL **** 19 11 17 111 148 157 168 145 95 58 58 22 0<br />
480 WM **** **** **** 5 57 81 78 80 76 43 25 23 5 0<br />
203 WF 0 **** **** **** 33 18 30 29 16 19 19 23 10 0<br />
223 BM **** 8 6 5 14 33 28 42 37 28 8 8 5 0<br />
87 BF 0 **** **** 5 6 13 16 13 14 **** 5 **** **** 0<br />
11 OM 0 0 0 0 0 **** **** **** **** **** 0 **** 0 0<br />
7 OF 0 0 0 0 **** **** **** 0 **** 0 **** 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 99
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Motor vehicle<br />
accidents (V02-04,<br />
V09.0,V09.2,V12-14,V19.0-<br />
19.2, V19.4-V19.6,V20-<br />
V79,V80.3- V80.5,V81.0-81.1,<br />
V82.0-V82.1, V83-86, V87.0-<br />
V87.8,V88.0-V88.8,<br />
V89.0,V89.2)<br />
Other land transport accidents<br />
(V01,V05-V06,V09.1,V09.3-<br />
V09.9,V10-V11,V15-V18,<br />
V19.3,V19.8-19.9, V80.0-<br />
80.2,V80.6-80.9, V81.2-<br />
81.9,V82.2-82.9,<br />
V87.9,V88.9,V89.1,V89.3,V89<br />
.9)<br />
Water, air and space, and<br />
other and unspecified<br />
transport accidents and their<br />
sequelae<br />
(V90-V99,Y85)<br />
Nontransport accidents (W00-<br />
X59,Y86)<br />
Falls (W00-W19)<br />
Total Crude<br />
Rate+<br />
20.6<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
926 ALL **** 18 11 14 106 142 143 154 129 76 56 53 22 0<br />
429 WM **** **** **** **** 53 77 72 71 66 33 23 19 5 0<br />
193 WF 0 **** **** 0 33 18 27 28 14 17 19 23 10 0<br />
204 BM **** 8 6 5 13 32 25 39 33 22 8 7 5 0<br />
84 BF 0 **** **** 5 6 13 15 12 14 **** 5 **** **** 0<br />
10 OM 0 0 0 0 0 **** **** **** **** **** 0 **** 0 0<br />
6<br />
OF 0 0 0 0 **** **** **** 0 **** 0 **** 0 0 0<br />
20 0.4 ALL 0 0 0 0 **** **** **** **** 5 7 0 **** 0 0<br />
9 WM 0 0 0 0 **** **** **** **** **** **** 0 **** 0 0<br />
2 WF 0 0 0 0 0 0 0 0 **** **** 0 0 0 0<br />
7 BM 0 0 0 0 0 0 0 **** **** **** 0 **** 0 0<br />
2 BF 0 0 0 0 0 0 0 **** 0 **** 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
65 1.4 ALL 0 **** 0 **** **** 5 13 11 11 12 **** **** 0 0<br />
42 WM 0 **** 0 **** **** **** 5 8 8 8 **** **** 0 0<br />
8 WF 0 0 0 **** 0 0 **** **** **** **** 0 0 0 0<br />
12 BM 0 0 0 0 **** **** **** **** **** **** 0 0 0 0<br />
1 BF 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
1 OM 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
1 OF 0 0 0 0 0 **** 0 0 0 0 0 0 0 0<br />
1132 25.2 ALL 31 19 14 10 43 81 137 194 151 109 84 120 139 0<br />
580 WM 11 7 **** **** 32 56 90 115 76 54 45 40 47 0<br />
287 WF 6 **** **** 0 **** 11 25 37 33 28 22 52 67 0<br />
173 BM 7 8 **** **** 6 13 20 32 30 19 9 15 7 0<br />
88 BF 7 **** **** **** **** **** **** 9 11 6 8 13 18 0<br />
3 OM 0 0 0 0 0 0 0 **** **** **** 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
128 2.8 ALL **** 0 0 0 **** 0 **** 6 13 21 12 35 36 0<br />
60 WM 0 0 0 0 **** 0 **** **** 5 12 6 14 16 0<br />
40 WF **** 0 0 0 0 0 0 **** **** 5 **** 17 12 0<br />
16 BM 0 0 0 0 0 0 **** **** 6 **** **** **** **** 0<br />
12 BF 0 0 0 0 0 0 0 0 **** 0 **** **** 6 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 100 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Accidental discharge <strong>of</strong><br />
firearms (W32-W34)<br />
Accidental drowning and<br />
submersion (W65-W74)<br />
Accidental exposure to<br />
smoke, fire and flames (X00-<br />
X09)<br />
Accidental poisoning and<br />
exposure to noxious<br />
substances (X40-X49)<br />
Other and unspecified<br />
nontransport accidents and<br />
their sequelae (W20-<br />
W31,W35-W64,W75-<br />
W99,X10-X39,X50-X59,Y86)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
49 1.1 ALL 0 **** 0 **** 5 8 9 6 5 9 **** **** 0 0<br />
30 WM 0 0 0 **** **** **** **** **** **** 9 **** **** 0 0<br />
5 WF 0 0 0 0 **** **** **** 0 **** 0 **** 0 0 0<br />
12 BM 0 **** 0 0 **** **** **** **** 0 0 0 0 0 0<br />
2 BF 0 0 0 0 0 **** 0 **** 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
76 1.7 ALL 0 8 5 5 **** 12 12 11 7 6 **** **** **** 0<br />
46 WM 0 5 **** 0 **** 6 9 10 **** 5 **** 0 0 0<br />
10 WF 0 **** 0 0 0 **** **** 0 **** 0 **** **** **** 0<br />
16 BM 0 **** 0 **** **** 5 **** **** **** **** 0 0 0 0<br />
4 BF 0 0 **** **** 0 0 0 0 0 0 0 0 **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
86 1.9 ALL **** 9 7 **** **** **** 9 9 14 9 12 8 **** 0<br />
25 WM 0 **** 0 0 **** **** **** 5 5 **** **** **** **** 0<br />
19 WF 0 0 **** 0 0 0 **** **** **** **** **** **** **** 0<br />
29 BM **** 5 **** 0 0 0 **** **** 6 **** **** 5 0 0<br />
13 BF 0 **** **** **** **** 0 **** **** 0 **** **** 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
403 9 ALL **** 0 0 **** 19 49 88 128 71 26 8 10 **** 0<br />
247 WM 0 0 0 0 15 39 61 78 41 6 **** **** 0 0<br />
105 WF **** 0 0 0 **** 9 19 30 20 15 **** **** **** 0<br />
33 BM 0 0 0 0 **** **** 7 14 5 **** 0 0 0 0<br />
16 BF 0 0 0 **** 0 0 **** 5 **** **** **** **** **** 0<br />
2 OM 0 0 0 0 0 0 0 **** **** 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
390 8.7 ALL 28 **** **** **** 11 10 17 34 41 38 45 65 96 0<br />
172 WM 11 **** 0 **** 9 7 13 15 18 19 27 20 30 0<br />
108 WF **** 0 **** 0 0 0 0 **** 5 6 9 28 51 0<br />
67 BM 6 0 0 0 **** **** **** 13 12 8 5 9 5 0<br />
41 BF 7 0 **** 0 0 0 0 **** 6 **** **** 8 10 0<br />
1 OM 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 101
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Intentional self-harm (suicide)<br />
(X60-X84,Y87.0)<br />
Intentional self-harm (suicide)<br />
by discharge <strong>of</strong> firearms (X72-<br />
X74)<br />
Intentional self-harm (suicide)<br />
by other and unspecified<br />
means and their sequelae<br />
(X60-X71,X75-X84,Y87.0)<br />
Assault (homicide) (X85-<br />
Y09,Y87.1)<br />
Assault (homicide) by<br />
discharge <strong>of</strong> firearms (X93-<br />
X95)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
456 10.1 ALL 0 0 0 **** 32 47 76 104 76 53 34 27 5 0<br />
312 WM 0 0 0 **** 20 32 45 66 49 41 27 26 5 0<br />
83 WF 0 0 0 **** 9 **** 12 23 21 8 **** **** 0 0<br />
42 BM 0 0 0 0 **** 8 15 10 **** **** **** 0 0 0<br />
11 BF 0 0 0 0 0 **** **** **** **** **** **** 0 0 0<br />
3 OM 0 0 0 0 0 **** 0 **** 0 0 0 0 0 0<br />
5 OF 0 0 0 0 **** 0 **** **** **** 0 0 0 0 0<br />
313 7 ALL 0 0 0 **** 20 37 43 62 49 39 31 26 **** 0<br />
228 WM 0 0 0 **** 15 24 28 40 33 33 24 26 **** 0<br />
47 WF 0 0 0 **** **** **** **** 15 14 **** **** 0 0 0<br />
31 BM 0 0 0 0 **** 6 12 5 **** **** **** 0 0 0<br />
3 BF 0 0 0 0 0 **** 0 **** 0 0 **** 0 0 0<br />
3 OM 0 0 0 0 0 **** 0 **** 0 0 0 0 0 0<br />
1 OF 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
143 3.2 ALL 0 0 0 0 12 10 33 42 27 14 **** **** **** 0<br />
84 WM 0 0 0 0 5 8 17 26 16 8 **** 0 **** 0<br />
36 WF 0 0 0 0 6 0 10 8 7 **** 0 **** 0 0<br />
11 BM 0 0 0 0 0 **** **** 5 0 **** 0 0 0 0<br />
8 BF 0 0 0 0 0 0 **** **** **** **** 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
4 OF 0 0 0 0 **** 0 0 **** **** 0 0 0 0 0<br />
596 13.3 ALL **** 7 **** 6 64 112 191 100 63 31 7 7 **** 0<br />
80 WM **** 0 **** **** **** 8 14 15 22 11 **** **** **** 0<br />
36 WF **** 0 0 0 **** 0 9 12 **** 5 **** **** 0 0<br />
407 BM **** 5 **** **** 53 86 149 60 34 10 **** **** 0 0<br />
66 BF 0 **** **** **** 7 16 17 12 **** **** **** **** 0 0<br />
6 OM 0 0 0 0 0 **** **** 0 **** **** 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
466 10.4 ALL 0 0 **** 5 50 99 175 71 40 18 **** **** 0 0<br />
56 WM 0 0 **** 0 **** 7 11 11 16 6 **** 0 0 0<br />
19 WF 0 0 0 0 **** 0 7 5 **** **** **** **** 0 0<br />
347 BM 0 0 0 **** 46 79 142 47 22 7 0 **** 0 0<br />
40 BF 0 0 0 **** **** 11 14 8 0 **** 0 **** 0 0<br />
4 OM 0 0 0 0 0 **** **** 0 **** 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 102 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Assault (homicide) by other<br />
and unspecified means and<br />
their sequelae (X85-X92,X96-<br />
Y09,Y87.1)<br />
Legal intervention (Y35,Y89.0)<br />
Events <strong>of</strong> undetermined intent<br />
(Y10-Y34,Y87.2,Y89.9)<br />
Discharge <strong>of</strong> firearms,<br />
undetermined intent (Y22-<br />
Y24)<br />
Other and unspecified events<br />
<strong>of</strong> undetermined intent and<br />
their sequelae (Y10-Y21,Y25-<br />
Y34,Y87.2,Y89.9)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
130 2.9 ALL **** 7 **** **** 14 13 16 29 23 13 **** **** **** 0<br />
24 WM **** 0 0 **** 0 **** **** **** 6 5 0 **** **** 0<br />
17 WF **** 0 0 0 **** 0 **** 7 **** **** 0 **** 0 0<br />
60 BM **** 5 **** 0 7 7 7 13 12 **** **** **** 0 0<br />
26 BF 0 **** **** 0 5 5 **** **** **** **** **** 0 0 0<br />
2 OM 0 0 0 0 0 0 **** 0 0 **** 0 0 0 0<br />
1 OF 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
6 0.1 ALL 0 0 0 0 0 **** **** **** 0 0 0 0 0 0<br />
1 WM 0 0 0 0 0 0 0 **** 0 0 0 0 0 0<br />
0 WF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
5 BM 0 0 0 0 0 **** **** **** 0 0 0 0 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
103 2.3 ALL **** 0 0 **** **** 15 22 34 21 5 0 **** 0 0<br />
51 WM **** 0 0 0 **** 6 12 14 12 **** 0 **** 0 0<br />
41 WF 0 0 0 0 0 8 8 18 5 **** 0 0 0 0<br />
9 BM 0 0 0 **** 0 **** 0 **** **** 0 0 0 0 0<br />
1 BF 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
1 OM 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
2 0 ALL 0 0 0 **** 0 0 **** 0 0 0 0 0 0 0<br />
1 WM 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
0 WF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 BM 0 0 0 **** 0 0 0 0 0 0 0 0 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
101 2.2 ALL **** 0 0 **** **** 15 21 34 21 5 0 **** 0 0<br />
50 WM **** 0 0 0 **** 6 11 14 12 **** 0 **** 0 0<br />
41 WF 0 0 0 0 0 8 8 18 5 **** 0 0 0 0<br />
8 BM 0 0 0 **** 0 **** 0 **** **** 0 0 0 0 0<br />
1 BF 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
1 OM 0 0 0 0 0 0 **** 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 103
Cause <strong>of</strong> Death and ICD-10<br />
Code<br />
Operations <strong>of</strong> war and their<br />
sequelae (Y36,Y89.1)<br />
Complications <strong>of</strong> medical and<br />
surgical care (Y40-Y84,Y88)<br />
Total Crude<br />
Rate+<br />
Table 5.11: Deaths (Exclusive <strong>of</strong> Stillbirths) by Selected Causes, Race-Gender and Age<br />
<strong>Louisiana</strong> Residents <strong>2003</strong><br />
Race /<br />
Gender<br />
LT 1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85 + UNK<br />
1 0 ALL 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
0 WM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 WF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
1 BM 0 0 0 0 0 0 0 0 0 **** 0 0 0 0<br />
0 BF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0 OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
54 1.2 ALL 0 0 0 **** **** 0 **** **** 5 8 9 17 8 0<br />
16 WM 0 0 0 0 **** 0 0 **** **** **** **** 5 **** 0<br />
14 WF 0 0 0 0 0 0 0 0 0 **** 5 **** **** 0<br />
9 BM 0 0 0 0 0 0 0 0 **** **** 0 5 **** 0<br />
15 BF 0 0 0 **** 0 0 **** **** **** **** **** **** **** 0<br />
0 OM 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
0<br />
+ Crude Death Rate per 100,000 population<br />
**** Cells suppressed to protect confidentiality<br />
OF 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
_________________________________________________________________________________________________________________________________________________<br />
Page 104 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT AND MATERNAL MORTALITY<br />
INFANT AND MATERNAL<br />
MORTALITY<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 105
INFANT AND MATERNAL MORTALITY <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Page 106 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT AND MATERNAL MORTALITY<br />
INFANT AND MATERNAL MORTALITY<br />
INTRODUCTION<br />
Purpose <strong>of</strong> Infant Mortality and Maternal Mortality Surveillance<br />
The rate <strong>of</strong> infant deaths, i.e., deaths to babies between birth and 1 year <strong>of</strong> age, is a basic measure <strong>of</strong> the health <strong>of</strong> a population.<br />
High infant mortality rates reflect unmet medical care needs and unfavorable environmental, economic, nutritional, educational,<br />
and sanitation conditions. Infant mortality surveillance is used to identify factors that place infants at high risk <strong>of</strong> death, so that<br />
medical, social, and economic interventions can be directed more effectively to reduce the risk.<br />
An increased risk <strong>of</strong> infant death is related to a number <strong>of</strong> factors, including extremes in maternal age at birth (under 19 or over<br />
40 years), fewer than 2 years between births, birth under conditions <strong>of</strong> poor maternal health or nutrition, and use <strong>of</strong> chemical<br />
toxins such as alcohol, drugs, and cigarettes during pregnancy. Many <strong>of</strong> these factors are also associated with low birthweight.<br />
After the first month <strong>of</strong> life, poor infant nutrition, poor hygiene, and infectious diseases all increase the risk <strong>of</strong> infant mortality.<br />
Maternal mortality is defined as deaths from puerperal causes, i.e., complications <strong>of</strong> pregnancy, childbirth, and the period after<br />
childbirth. These deaths can be related to previously existing maternal health problems, or they can occur from acute conditions<br />
arising during pregnancy, labor, or delivery. Such deaths are influenced not only by access to and adequacy <strong>of</strong> a woman’s<br />
obstetric care, but also by her age, nutritional status, and socioeconomic level. Comparisons <strong>of</strong> maternal mortality rates among<br />
populations help identify pregnant women at risk <strong>of</strong> dying from complications <strong>of</strong> pregnancy or childbirth so that proactive<br />
measures (e.g., education, nutritional supplementation) can be taken to minimize the risk.<br />
Source <strong>of</strong> Data: Death Certificates<br />
Infant mortality information presented in this report is gathered from data recorded on the Certificate <strong>of</strong> Death for deaths that<br />
occurred to infants born to <strong>Louisiana</strong> residents during the <strong>2003</strong> calendar year. Maternal mortality data are also collected from<br />
the Certificate <strong>of</strong> Death. Data are recorded on death certificates by funeral directors, who solicit demographic information from<br />
available next <strong>of</strong> kin, and by physicians or coroners, who record information on time, place, and cause <strong>of</strong> death. <strong>Louisiana</strong> law<br />
requires that funeral directors send death certificates to the <strong>Vital</strong> Records Registry within five days <strong>of</strong> occurrence, and that the<br />
identities <strong>of</strong> persons included in the death registry be kept confidential.<br />
Death statistics are compiled in accordance with World Health Organization (WHO) regulations, which require member nations<br />
to classify causes <strong>of</strong> death according to the revision <strong>of</strong> the International Statistical Classification <strong>of</strong> Diseases (ICD) in effect at<br />
the time <strong>of</strong> death. Deaths that occurred in <strong>2003</strong> are coded in accordance with the tenth revision (ICD-10). All <strong>of</strong> the causes <strong>of</strong><br />
death described in this report are underlying causes <strong>of</strong> death, defined as the disease or injury that initiated the sequence <strong>of</strong><br />
events leading to death. Secondary causes <strong>of</strong> death, which also are recorded on the death certificate, are not presented in this<br />
report.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 107
INFANT AND MATERNAL MORTALITY <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
MATERNAL MORTALITY COUNTS AND RATES<br />
In <strong>2003</strong>, there were thirteen maternal deaths in <strong>Louisiana</strong>. <strong>Louisiana</strong>’s maternal mortality rate for <strong>2003</strong> was 18.6 deaths per<br />
100,000 live births. The maternal mortality rate for the 1993-<strong>2003</strong> period was 10 deaths per 100,000 live births.<br />
Racial differences are evident as black mothers are far more likely to die <strong>of</strong> pregnancy related causes than white mothers are.<br />
Care must be taken when comparing maternal mortality rates over time, because substantial fluctuation in these rates exists due<br />
to the small number <strong>of</strong> deaths each year.<br />
For causes <strong>of</strong> maternal death, please refer to Table 5.11 in the death chapter <strong>of</strong> this report.<br />
Table 6.1: Number and Rates <strong>of</strong> Maternal Deaths by Race and Age<br />
<strong>Louisiana</strong>, 1994-<strong>2003</strong><br />
Number <strong>of</strong> Maternal Deaths by Age Group<br />
Year<br />
All Races White<br />
Rate<br />
Black<br />
+ Number 15-19 20-24 25-29 30-34 35-39 40-44 45 + All 15-19 20-24 25-29 30-34 35-39 40-44 45+ All<br />
1994 10.3 7 0 0 0 0 0 0 0 0 **** **** **** **** **** 0 0 7<br />
1995 6.1 **** 0 **** 0 0 0 0 0 **** 0 **** **** 0 0 0 0 ****<br />
1996 12.3 8 **** 0 0 0 0 0 0 **** **** **** 0 **** **** 0 0 7<br />
1997 6.1 **** 0 **** 0 0 0 0 **** **** 0 0 **** 0 0 0 0 ****<br />
1998 3.0 **** 0 0 0 0 0 0 0 0 0 0 0 0 **** 0 0 ****<br />
1999 11.9 8 0 0 0 0 **** 0 0 **** **** **** **** 0 0 **** 0 6<br />
2000 7.4 5 0 0 0 **** 0 0 0 **** 0 **** **** **** **** 0 0 ****<br />
2001 13.8 9 **** **** 0 0 **** 0 0 **** **** **** **** **** **** 0 0 6<br />
2002 13.4 7 0 0 **** 0 **** 0 0 **** **** **** **** 0 0 0 0 5<br />
<strong>2003</strong> 18.6 12 0 1 1 0 2 0 0 4 1 1 0 4 2 0 0 8<br />
1994-<strong>2003</strong> 10.0 66 2 4 2 1 6 0 1 16 6 14 11 8 9 1 0 49<br />
+<br />
Rate per 100,000 live births. Note that rates are unstable due to small frequency <strong>of</strong> occurrence.<br />
**** Cells suppressed to protect confidentiality.<br />
PARISH<br />
Table 6.2: Maternal Deaths by Place <strong>of</strong> Occurrence, Reallocated to Mothers Usual Residence<br />
And Shown by Age and Race <strong>of</strong> Mother. <strong>Louisiana</strong>, <strong>2003</strong><br />
MATERNAL AGE<br />
TOTAL BY<br />
OCCURRENCE<br />
TOTAL BY<br />
RESIDENCE<br />
RATE+<br />
RACE LT 15 15-19 20-24 25-29 30-34 35-39 40-44 45+ UNK.<br />
STATE<br />
13 12 18.6 ALL 0 **** **** **** **** **** 0 0 0<br />
**** **** 10.8 WHITE 0 0 **** **** 0 **** 0 0 0<br />
8 8 30.7 BLACK 0 **** **** 0 **** **** 0 0 0<br />
ACADIA<br />
0 **** 104.6 ALL 0 0 0 0 0 **** 0 0 0<br />
0 **** 136.6 WHITE 0 0 0 0 0 **** 0 0 0<br />
ASCENSION<br />
0 **** 70.3 ALL 0 0 0 0 0 **** 0 0 0<br />
0 **** 300.3 BLACK 0 0 0 0 0 **** 0 0 0<br />
CADDO<br />
**** 0 0.0 ALL 0 0 0 0 0 0 0 0 0<br />
**** 0 0.0 WHITE 0 0 0 0 0 0 0 0 0<br />
CALCASIEU<br />
**** 0 0.0 ALL 0 0 0 0 0 0 0 0 0<br />
**** 0 0.0 WHITE 0 0 0 0 0 0 0 0 0<br />
E BATON ROUGE<br />
**** **** 34.9 ALL 0 0 **** 0 **** 0 0 0 0<br />
**** **** 40.0 WHITE 0 0 **** 0 0 0 0 0 0<br />
**** **** 33.0 BLACK 0 0 0 0 **** 0 0 0 0<br />
JACKSON<br />
0 **** 473.9 ALL 0 0 0 0 **** 0 0 0 0<br />
0 **** 1613 BLACK 0 0 0 0 **** 0 0 0 0<br />
JEFFERSON<br />
**** **** 15.9 ALL 0 0 0 0 **** 0 0 0 0<br />
**** **** 44.8 BLACK 0 0 0 0 **** 0 0 0 0<br />
ORLEANS<br />
**** **** 43.4 ALL 0 **** 0 0 **** **** 0 0 0<br />
**** **** 55.3 BLACK 0 **** 0 0 **** **** 0 0 0<br />
OUACHITA<br />
**** 0 0.0 ALL 0 0 0 0 0 0 0 0 0<br />
**** 0 0.0 BLACK 0 0 0 0 0 0 0 0 0<br />
ST BERNARD<br />
**** **** 111.4 ALL 0 0 0 0 0 **** 0 0 0<br />
**** **** 134.6 WHITE 0 0 0 0 0 **** 0 0 0<br />
ST LANDRY<br />
**** **** 74.8 ALL 0 0 **** 0 0 0 0 0 0<br />
**** **** 161.0 BLACK 0 0 **** 0 0 0 0 0 0<br />
TERREBONNE<br />
**** **** 58.9 ALL 0 0 0 **** 0 0 0 0 0<br />
**** **** 82.2 WHITE 0 0 0 **** 0 0 0 0 0<br />
+Rate per 100,000 live births. Rates are unstable because <strong>of</strong> the small number <strong>of</strong> maternal deaths<br />
****Cells suppressed to protect confidentiality<br />
Page 108 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT AND MATERNAL MORTALITY<br />
INFANT MORTALITY COUNTS AND RATES<br />
In <strong>2003</strong>, there were 604 infant deaths and 661 in 2002. <strong>Louisiana</strong>’s <strong>2003</strong> infant mortality rate was 9.7 per 1,000 live births.<br />
To help identify factors that lead to infant deaths, infant mortality is divided into two categories based on the child’s age at death.<br />
Deaths occurring during the first 27 days <strong>of</strong> life are labeled neonatal deaths, while those occurring from 28 days through 364<br />
days <strong>of</strong> age are termed postneonatal deaths. In general, neonatal deaths reflect problems with heredity, prenatal<br />
development, and the birth process; postneonatal deaths are influenced by environmental factors, such as nutrition, hygiene,<br />
and accidents. The distinction between these two periods, however, has blurred in recent years because <strong>of</strong> increased survival<br />
<strong>of</strong> premature infants due to advances in neonatology.<br />
Since the mid-1960s, infant mortality rates for both <strong>Louisiana</strong> and the United States have declined, largely due to advances in<br />
the development and use <strong>of</strong> antibiotics and vaccines, and improvements in the practice <strong>of</strong> neonatology.<br />
Number <strong>of</strong> Deaths<br />
Rate per 1,000 live births<br />
3500<br />
3000<br />
2500<br />
2000<br />
1500<br />
1000<br />
500<br />
Figure 6.1 Infant Death Counts and Infant Mortality Rates<br />
<strong>Louisiana</strong>, 1953-<strong>2003</strong><br />
0<br />
0<br />
1953 1958 1963 1968 1973 1978 1983 1988 1993 1998 <strong>2003</strong><br />
Figure 6.2 Infant Mortality Rates<br />
<strong>Louisiana</strong> and United States, 1953-<strong>2003</strong><br />
40<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
1953 1958 1963 1968 1973 1978 1983 1988 1993 1998 <strong>2003</strong><br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 109<br />
40<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
Rate per 1,000 live births<br />
Rate<br />
Number<br />
<strong>Louisiana</strong><br />
U.S.
INFANT AND MATERNAL MORTALITY <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Infant Mortality by Infant Race<br />
Of the 604 infant deaths to <strong>Louisiana</strong> residents in <strong>2003</strong>, 237 (39.2%) occurred among whites, 358 (59.3%) among blacks, and 9<br />
(1.5%) among other races. The racial difference in mortality rates has existed for many years at both the state and national<br />
levels.<br />
Year<br />
Number<br />
Table 6.3: Number <strong>of</strong> Infant Deaths and Infant Mortality Rates<br />
<strong>Louisiana</strong> and United States, 1984-<strong>2003</strong><br />
Infant<br />
Mortality<br />
Rate 1<br />
<strong>Louisiana</strong> United States<br />
Neonatal<br />
Mortality<br />
Rate 2<br />
Postneonatal<br />
Mortality Rate 3<br />
Infant<br />
Mortality<br />
Rate 1<br />
Neonatal<br />
Mortality<br />
Rate 2<br />
Postneonatal<br />
Mortality Rate 3<br />
1984 984 12.1 8.0 4.1 10.8 7.0 3.8<br />
1985 966 11.9 7.7 4.2 10.6 7.0 3.7<br />
1986 925 11.9 7.7 4.1 10.4 6.7 3.6<br />
1987 870 11.8 7.7 4.1 10.1 6.5 3.6<br />
1988 808 10.9 7.0 4.0 10.0 6.3 3.6<br />
1989 834 11.5 7.3 4.2 9.8 6.2 3.6<br />
1990 796 11.0 6.7 4.4 9.2 5.8 3.4<br />
1991 754 10.5 6.6 3.9 8.9 5.6 3.4<br />
1992 736 10.4 6.6 3.9 8.5 5.4 3.1<br />
1993 752 10.8 6.8 4.0 8.4 5.3 3.1<br />
1994 715 10.5 7.0 3.5 8.0 5.1 2.9<br />
1995 639 9.7 6.4 3.3 7.6 4.9 2.7<br />
1996 586 9.0 5.6 3.4 7.3 4.8 2.5<br />
1997 629 9.5 6.2 3.3 7.2 4.8 2.5<br />
1998 606 9.1 5.9 3.2 7.2 4.8 2.4<br />
1999 618 9.2 5.8 3.4 7.1 4.7 2.3<br />
2000 603 8.9 5.7 3.2 6.9 4.6 2.3<br />
2001 642 9.8 6.4 3.4 6.9 4.6 2.3<br />
2002 661 10.2 6.6 3.6 7.0 4.7 2.3<br />
<strong>2003</strong> 304 9.3 5.7 3.6 6.8 4.6 2.2<br />
1<br />
Infant Mortality Rate = deaths to infants under 1 year, per 1,000 live births<br />
2<br />
Neonatal Mortality Rate = deaths to infants under 28 days, per 1,000 live births<br />
3<br />
Postneonatal Mortality Rate = deaths to infants between 28 and 364 days, per 1,000 live births<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong><br />
National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong>, Volume 54, Number 16, table 6, p.21.<br />
Table 6.4: Infant Mortality Rates by Age at Death and Infant Race<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Rate + by Age (in Days) at Death Combined Rates<br />
Race Under 1 1-6 7-13 14-20 21-27 28-364 Hebdomadal 1 Neonatal 2 Perinatal 3 Infant 4<br />
All 3.3 1.1 0.7 0.4 0.2 3.6 4.5 5.7 12.7 9.3<br />
White 2.2 0.8 0.4 0.4 0.2 2.5 3 3.9 9.1 6.4<br />
Black 5.1 1.5 1.1 0.5 0.2 5.3 6.6 8.4 18 13.8<br />
Other 0.6 2.5 0.6 - - 1.9 3.1 3.8 9.3 5.6<br />
+Rate per 1,000 live births in age category<br />
1 Hebdomadal mortality rate = deaths to infants under 7 days, per 1,000 live births<br />
2 Neonatal mortality rate = deaths to infants under 28 days, per 1,000 live births<br />
3 Perinatal mortality rate = fetal deaths + deaths to infants under 7 days, per 1,000 fetal deaths + live births<br />
4 Infant mortality rate = deaths to infants under 1 year, per 1,000 live births<br />
Page 110 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT AND MATERNAL MORTALITY<br />
Infant mortality rates for blacks have historically been lower in <strong>Louisiana</strong> than in the United States. <strong>Louisiana</strong>’s infant mortality<br />
rates among whites have historically been very similar to those <strong>of</strong> the nation, and <strong>2003</strong> mirrored the trend (Figure 6.3 and Table<br />
6.5).<br />
Rate per 1,000 live births<br />
25<br />
20<br />
15<br />
10<br />
5<br />
Figure 6.3 Infant Mortality Rates by Race<br />
<strong>Louisiana</strong> and United Sates, 1983-<strong>2003</strong><br />
0<br />
1983 1988 1993 1998 <strong>2003</strong><br />
Table 6.5: Infant Mortality Rates, Neonatal Mortality Rates, and Postneonatal Mortality Rates<br />
<strong>Louisiana</strong> and United States, 1983-<strong>2003</strong><br />
Infant Mortality Rate 1 Neonatal Mortality Rate 2 Postneonatal Mortality Rate 3<br />
<strong>Louisiana</strong> United States <strong>Louisiana</strong> United States <strong>Louisiana</strong> United States<br />
Year White Black White Black White Black White Black White Black White Black<br />
1983 9.8 19.1 9.6 20.0 6.6 12.5 6.3 12.9 3.2 6.6 3.3 7.0<br />
1984 8.9 16.9 9.3 19.2 6.0 11.2 6.1 12.3 2.9 5.7 3.2 6.8<br />
1985 8.6 16.7 9.2 19.0 5.9 10.5 6.0 12.6 2.7 6.2 3.2 6.4<br />
1986 8.6 16.5 8.8 18.9 5.9 10.3 5.7 12.3 2.7 6.2 3.1 6.6<br />
1987 8.0 17.7 8.5 18.8 5.1 11.7 5.4 12.3 2.9 6.0 3.1 6.4<br />
1988 9.0 14.1 8.4 18.5 5.6 9.2 5.3 12.1 3.4 4.9 3.1 6.5<br />
1989 8.5 16.1 8.1 18.6 5.5 10.0 5.1 11.9 3.0 6.1 2.9 6.7<br />
1990 7.2 16.7 7.6 18.0 4.4 10.0 4.8 11.6 2.8 6.7 2.8 6.4<br />
1991 8.0 14.0 7.3 17.6 5.3 8.5 4.5 11.2 2.7 5.5 2.8 6.3<br />
1992 7.3 15.0 6.9 16.8 4.5 9.6 4.3 10.8 2.8 5.4 2.6 6.0<br />
1993 7.4 15.7 6.8 16.5 4.5 10.0 4.3 10.7 2.9 5.7 2.5 5.8<br />
1994 6.7 16.0 6.6 15.8 5.0 11.0 4.2 10.2 1.7 5.0 2.4 5.6<br />
1995 6.1 15.2 6.3 15.1 4.1 10.0 4.1 9.8 2.0 5.2 2.2 5.3<br />
1996 6.5 12.7 6.1 14.7 3.9 8.0 4.0 9.6 2.6 4.7 2.1 5.1<br />
1997 6.8 13.6 6.0 14.2 4.4 8.9 4.0 9.4 2.4 4.7 2.0 4.8<br />
1998 5.8 14.0 6.0 14.3 3.8 9.2 4.0 9.5 2.0 4.8 2.0 4.8<br />
1999 5.9 14.1 5.8 14.6 3.7 9.1 3.9 9.8 2.2 5.1 1.9 4.8<br />
2000 5.9 13.2 5.7 14.1 3.8 8.5 3.8 9.4 2.1 4.7 1.9 4.7<br />
2001 6.5 14.5 5.7 14.2 4.1 9.5 3.8 9.3 2.4 5.0 1.9 4.8<br />
2002 6.9 15.0 5.8 14.4 4.4 9.7 3.9 9.5 2.5 5.3 1.9 4.8<br />
<strong>2003</strong> 6.4 13.8 5.7 14.0 3.9 8.4 3.9 9.2 2.5 5.3 1.9 4.3<br />
1 Infant Mortality Rate = deaths to infants under 1 year, per 1,000 live births<br />
2 Neonatal Mortality Rate = deaths to infants under 28 days, per 1,000 live births<br />
3 Postneonatal Mortality Rate = deaths to infant between 28 and 364 days, per 1,000 live births<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong><br />
National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong>, Volume 54, Number 16, table 6, p.21.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 111<br />
LA<br />
White<br />
LA<br />
Black<br />
U.S.<br />
White<br />
U.S.<br />
Black
INFANT AND MATERNAL MORTALITY <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Infant Mortality by Infant Gender and Race<br />
As in past years, <strong>Louisiana</strong>’s infant mortality rate for males in <strong>2003</strong> was higher than the rate for females. Rates for black infants<br />
were higher than those for white infants, while rates for black males were higher than those for black females and whites <strong>of</strong> both<br />
sexes (Figure 6.4, Table 6.6).<br />
Rate per 1,000 live births<br />
CAUSES OF INFANT DEATH<br />
20.0<br />
16.0<br />
12.0<br />
8.0<br />
4.0<br />
0.0<br />
Figure 6.4 Infant Mortality Rates by Infant Sex and Race<br />
<strong>Louisiana</strong>, 1993-<strong>2003</strong><br />
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
Table 6.6: Infant Mortality Rates + by Infant Gender and Race<br />
<strong>Louisiana</strong>, 1993-<strong>2003</strong><br />
White Black<br />
Year Total Male Female Male Female<br />
1993 10.8 7.4 7.3 17.5 13.9<br />
1994 10.5 7.3 6.1 17.2 14.8<br />
1995 9.7 7.1 5.0 17.1 13.2<br />
1996 9.0 7.3 5.6 15.1 10.3<br />
1997 9.5 8.4 5.1 13.3 14.0<br />
1998 9.1 6.5 5.0 14.7 13.2<br />
1999 9.2 6.6 5.2 14.2 14.0<br />
2000 8.9 6.3 5.4 14.1 12.3<br />
2001 9.8 7.3 5.7 16.8 12.0<br />
2002 10.2 7.7 5.9 1.6 1.3<br />
<strong>2003</strong> 9.3 6.2 6.6 15.7 11.6<br />
+ Rate per 1,000 race/sex-specific live births<br />
White<br />
Male<br />
White<br />
Female<br />
Black<br />
Male<br />
Black<br />
Female<br />
Leading Causes <strong>of</strong> Infant Death<br />
Perinatal conditions, congenital malformations, and ill-defined conditions, including sudden infant death syndrome (SIDS),<br />
accounted for 46.2%, 18.0%, and 25.5% <strong>of</strong> infant deaths in <strong>Louisiana</strong> in <strong>2003</strong> respectively (Table 6.5). Historically, these three<br />
have been the leading causes <strong>of</strong> death among infant deaths in the state (Figure 6.5 and Figure 6.6, Table 6.7 on page 121).<br />
Irrespective <strong>of</strong> cause <strong>of</strong> death, 35.6% <strong>of</strong> all infant deaths (215 deaths) occurred within the first day <strong>of</strong> life, and 38.6% (233<br />
deaths) occurred between the 28 th and 364 th day <strong>of</strong> life (Table 6.7).<br />
Page 112 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Beginning with deaths occurring in 1999, the United States implemented the tenth revision <strong>of</strong> the International Statistical<br />
Classification <strong>of</strong> Diseases, Injuries, and Causes <strong>of</strong> Death (ICD-10). The ICD system categorizes causes <strong>of</strong> death recorded on<br />
death certificates into cause-<strong>of</strong>-death groupings useful for summarizing, describing, and comparing causes <strong>of</strong> death throughout<br />
the world (see Technical Notes).<br />
Figures 6.5 and 6.6 present two versions <strong>of</strong> infant mortality rates for 1996, 1997, and, 1998. The "filled" pointers for these three<br />
years report infant mortality rates as determined under the ninth revision <strong>of</strong> the International Classification <strong>of</strong> Diseases (ICD-9),<br />
which was used to classify deaths occurring from 1979 through 1998. The "unfilled" pointers report these same crude death<br />
rates after they have been adjusted mathematically to be comparable to the revisions in death coding implemented under ICD-<br />
10. Table 6.8 reports both unmodified (i.e., ICD-9) and comparability-modified (i.e., adjusted to be comparable to ICD-10)<br />
versions <strong>of</strong> the 1996, 1997, and 1998 infant mortality rates. As seen in Figures 6.5, 6.6 and Table 6.8, the change from ICD-9 to<br />
ICD-10 had only a slight impact on the infant mortality rates for <strong>Louisiana</strong>'s leading causes <strong>of</strong> infant death between 1999 and<br />
<strong>2003</strong>.<br />
Table 6.7: Number <strong>of</strong> Deaths for Leading Causes <strong>of</strong> Infant Deaths by Age at Death<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Age at Death, in Days<br />
Cause <strong>of</strong> Death (ICD-10 Code) All Ages Under 1 day 28 - 364 days<br />
Deaths from all causes 604 215 233<br />
Perinatal conditions (P00-P96) 279 166 20<br />
Short gestation/Low birthweight (P07) 124 98 4<br />
Other newborn respiratory conditions (P23-P28) 33 10 9<br />
Congenital malformations (Q00-Q99) 109 39 34<br />
III-defined conditions (R00-R99) 84 5 70<br />
Sudden infant death syndrome (R95) 70 0 63<br />
**** Cells suppressed to protect confidentiality.<br />
Rate per 1,000 live births<br />
6.0<br />
5.0<br />
4.0<br />
3.0<br />
2.0<br />
1.0<br />
0.0<br />
Figure IM5. Rates for Leading Causes <strong>of</strong> Infant Death<br />
<strong>Louisiana</strong>, 1993-<strong>2003</strong><br />
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
Congenital Malformations<br />
Certain conditions originating in the perinatal period<br />
Notes: unfilled symbols ( and ) represent crude death rates multiplied by a comparability ratio.<br />
Congenital Malformations: ICD-9 codes in 1979-1998: 740-759<br />
ICD-10 codes in 1999-<strong>2003</strong>: Q00-Q99<br />
Comparability Ratio = 0.9064<br />
Certain conditions originating in the perinatal period:<br />
ICD-9 codes in 1979-1998: 760-771.2, 771.4-779<br />
ICD-10 codes in 1999-<strong>2003</strong>: P00-P96<br />
Comparability Ratio = 1.0581<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 113
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.8 : Death Rates + for Leading Causes <strong>of</strong> Infant Death<br />
<strong>Louisiana</strong>, 1993-<strong>2003</strong><br />
Comparabilitymodified<br />
1<br />
Compa-<br />
Cause <strong>of</strong> Death<br />
1993 1994 1995 1996 1997 1998 rability<br />
1999 2000 2001 2002 <strong>2003</strong><br />
(ICD-9 and ICD-10)<br />
Ratio 1996 1997 1998<br />
Congenital Malformations<br />
(740-759) (Q00-Q99) 2.4 2.3 1.7 2.1 2.0 1.8 0.9064 1.9 1.8 1.6 1.9 2.0 1.8 2.0 1.7<br />
Perinatal<br />
Conditions<br />
III-defined<br />
Conditions<br />
Rate per 1,000 live births<br />
2.5<br />
2.0<br />
1.5<br />
1.0<br />
0.5<br />
0.0<br />
Notes: unfilled symbols (, , and ) represent crude death rates multiplied by a comparability ratio.<br />
Disorders relating to short gestation and unspecified low birthweight:<br />
ICD-9 codes in 1979-1998: 765<br />
ICD-10 codes in 1999-<strong>2003</strong>: P07<br />
Comparability Ratio = 1.1060<br />
Other respiratory conditions <strong>of</strong> new born:<br />
ICD-9 codes in 1979-1998: 770<br />
ICD-10 codes in 1999-2002: P23-P28<br />
Comparability Ratio = 0.8455<br />
Sudden infant death syndrome:<br />
All<br />
(760-771.2,771.4-<br />
779) (P00-P96)<br />
Short Gestation/Low<br />
Birthweight<br />
(765) (P07)<br />
Other Newborn<br />
Respiratory<br />
Conditions (770)<br />
(P23-P28)<br />
5.0 5.4 5.2 3.9 4.6 4.4 1.0581 4.1 4.9 4.7 4.5 4.2 5.0 5.2 4.3<br />
1.6 2.2 1.9 1.5 1.9 1.8 1.1060 1.7 2.1 2.0 1.9 1.6 1.8 1.9 1.9<br />
0.7 0.8 0.7 0.6 0.7 0.6 0.8455 0.5 0.6 0.5 0.7 0.6 0.7 0.6 0.5<br />
All<br />
(780-799) (R00-R99) 1.4 1.2 0.9 1.1 1.3 1.0 1.0245 1.1 1.3 1.0 1.0 1.0 1.3 1.4 1.3<br />
Sudden infant death<br />
syndrome<br />
(798.0) (R95)<br />
Figure IM6. Rates for Leading Causes <strong>of</strong> Infant Death<br />
<strong>Louisiana</strong>, 1993-<strong>2003</strong><br />
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 <strong>2003</strong><br />
ICD-9 codes in 1979-1998: 798.0<br />
ICD-10 codes in 1999-<strong>2003</strong>: R95<br />
Comparability Ratio = 1.0362<br />
+ Rate per 1,000 live births<br />
1 Rate modified with the comparability ratios<br />
Note: ICD-9 was used from 1990-1998 and ICD-10 was used from 1999-<strong>2003</strong><br />
Disorders relating to short gestation and unspecified low birthw eight<br />
Other respiratory conditions <strong>of</strong> new born<br />
Sudden infant death syndrome<br />
1.3 1.1 0.9 1.0 1.2 0.9 1.0362 1.0 1.2 0.9 0.9 0.8 1.0 1.0 1.1<br />
Page 114 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Leading Causes <strong>of</strong> Infant Death by Race and Infant Gender<br />
In <strong>2003</strong>, the three leading causes <strong>of</strong> infant deaths in <strong>Louisiana</strong> were Perinatal Conditions, Congenital Malformations, and Ill-<br />
Defined Conditions (ICD-10 codes P00-P96, Q00-Q99, and R00-R99, respectively).<br />
In <strong>2003</strong> the mortality rate for Certain Conditions Originating in the Perinatal Period was 431.3 per 100,000 live births, while the<br />
rate for Ill-defined conditions (termed by the ICD-10 as “symptoms, signs, and abnormal clinical and laboratory findings not<br />
elsewhere classified”) was 129.9 per 100,000 live births (Table 6.9). Within the category <strong>of</strong> ill-defined conditions, SIDS is the<br />
largest and most well-known classification. Classifications which included fewer than 20 cases in an individual race-sex group<br />
should be considered unstable as in the case <strong>of</strong> SIDS.<br />
The high rates <strong>of</strong> mortality in the leading cause categories experienced by infants <strong>of</strong> other races were based upon very small<br />
counts <strong>of</strong> infant deaths and should, therefore, be considered unstable.<br />
Infant Mortality by Selected Causes <strong>of</strong> Infant Death<br />
Table 6.9 gives details <strong>of</strong> year <strong>2003</strong> counts and rates <strong>of</strong> infant deaths by causes <strong>of</strong> death, infant race, and infant sex.<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
All causes<br />
Certain infectious and parasitic<br />
diseases (A00-B99)<br />
Certain intestinal infectious<br />
diseases (A00-A08)<br />
Diarrhea and gastroenteritis <strong>of</strong><br />
presumed infectious origin (A09)<br />
Tuberculosis (A16-A19)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 933.7 604 215 73 43 27 13 233<br />
WM 623.9 118 38 16 5 8 **** 49<br />
WF 655.5 119 44 14 9 5 5 42<br />
BM 1566 209 83 28 13 8 **** 75<br />
BF 1175 149 49 11 15 6 **** 64<br />
OM 982.8 8 **** **** **** 0 0 ****<br />
OF 127.4 **** 0 **** 0 0 0 0<br />
ALL 23.2 15 0 0 **** 0 0 13<br />
WM 10.6 **** 0 0 **** 0 0 ****<br />
WF 27.5 5 0 0 **** 0 0 ****<br />
BM 37.5 5 0 0 0 0 0 5<br />
BF 23.7 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 115
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Tetanus (A33,A35)<br />
Diphtheria (A36)<br />
Whooping cough (A37)<br />
Meningococcal infection (A39)<br />
Septicemia (A40-A41)<br />
Congenital syphilis (A50)<br />
Gonococcal infection (A54)<br />
Viral diseases (A80-B34)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 12.4 8 0 0 0 0 0 8<br />
WM 0 0 0 0 0 0 0 0<br />
WF 16.5 **** 0 0 0 0 0 ****<br />
BM 22.5 **** 0 0 0 0 0 ****<br />
BF 15.8 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 **** 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 **** 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 116 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Acute poliomyelitis (A80)<br />
Varicella (chickenpox) (B01)<br />
Measles (B05)<br />
Human immunodeficiency virus<br />
(HIV) disease (B20-B24)<br />
Mumps (B26)<br />
Other and unspecified viral<br />
diseases (A81-B00,B02-B04,B06-<br />
B19,B25,B27-B34)<br />
Candidiasis (B37)<br />
Malaria (B50-B54)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 **** 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 **** 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 117
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Pneumocystosis (B59)<br />
Other and unspecified infectious<br />
and parasitic diseases and their<br />
sequelae (A20-A32,A38,A42-<br />
A49,A51-A53,A55-A79,B35-<br />
B36,B38-B49,B55-B58,B60-B99)<br />
Neoplasms (C00-D48)<br />
Malignant neoplasms (C00-C97)<br />
Hodgkin's disease and non-<br />
Hodgkin's lymphomas (C81-C85)<br />
Leukemia (C91-C95)<br />
Other and unspecified malignant<br />
neoplasms (C00-<br />
C80,C88,C90,C96-C97)<br />
In situ neoplasms, benign<br />
neoplasms and neoplasms <strong>of</strong><br />
uncertain or unknown behavior<br />
(D00-D48)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 **** 0 0 ****<br />
WM 5.3 **** 0 0 **** 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 4.6 **** **** 0 0 0 0 ****<br />
WM 10.6 **** **** 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** **** 0 0 0 0 0<br />
WM 5.3 **** **** 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 118 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Diseases <strong>of</strong> the blood and bloodforming<br />
organs and certain<br />
disorders involving the immune<br />
mechanism (D50-D89)<br />
Anemias (D50-D64)<br />
Hemorrhagic conditions and other<br />
diseases <strong>of</strong> blood and bloodforming<br />
organs (D65-D76)<br />
Certain disorders involving the<br />
immune mechanism (D80-D89)<br />
Endocrine, nutritional and<br />
metabolic diseases (E00-E88)<br />
Short stature, not elsewhere<br />
classified (E34.3)<br />
Nutritional deficiencies (E40-E64)<br />
Cystic fibrosis (E84)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 4.6 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 119
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Volume depletion, disorders <strong>of</strong><br />
fluid, electrolyte and acid-base<br />
balance (E86-E87)<br />
All other endocrine, nutritional and<br />
metabolic diseases (E00-<br />
E32,E34.0-E34.2,E34.4-<br />
E34.9,E65-E83,E85,E88)<br />
Diseases <strong>of</strong> the nervous system<br />
(G00-G98)<br />
Meningitis (G00,G03)<br />
Infantile spinal muscular atrophy,<br />
type I (Werdnig-H<strong>of</strong>fman) (G12.0)<br />
Infantile cerebral palsy (G80)<br />
Anoxic brain damage, not<br />
elsewhere classified (G93.1)<br />
Other diseases <strong>of</strong> nervous system<br />
(G04,G06-G11,G12.1-G12.9,G20-<br />
G72,G81-G92,G93.0,G93.2-<br />
G93.9,G95-G98)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 12.4 8 0 0 0 **** 0 7<br />
WM 21.2 **** 0 0 0 **** 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 22.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 7.7 5 0 0 0 **** 0 ****<br />
WM 10.6 **** 0 0 0 **** 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 15 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 120 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Diseases <strong>of</strong> the ear and mastoid<br />
process (H60-H93)<br />
Diseases <strong>of</strong> the circulatory system<br />
(I00-I99)<br />
Pulmonary heart disease and<br />
diseases <strong>of</strong> pulmonary circulation<br />
(I26-I28)<br />
Pericarditis, endocarditis and<br />
myocarditis (I30,I33,I40)<br />
Cardiomyopathy (I42)<br />
Cardiac arrest (I46)<br />
Cerebrovascular diseases (I60-<br />
I69)<br />
All other diseases <strong>of</strong> circulatory<br />
system (I00-I25,I31,I34-I38,I44-<br />
I45,I47-I51,I70-I99)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 37.1 24 **** **** **** **** 0 16<br />
WM 21.2 **** **** **** 0 0 0 ****<br />
WF 27.5 5 **** **** **** 0 0 ****<br />
BM 45 6 **** 0 0 **** 0 ****<br />
BF 71 9 **** 0 0 0 0 8<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 **** **** 0 **** 0 ****<br />
WM 5.3 **** **** 0 0 0 0 0<br />
WF 11 **** **** **** 0 0 0 0<br />
BM 15 **** 0 0 0 **** 0 ****<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 6.2 **** **** **** 0 0 0 ****<br />
WM 5.3 **** 0 **** 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 15 **** **** 0 0 0 0 ****<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 4.6 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 13.9 9 0 0 **** 0 0 8<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 11 **** 0 0 **** 0 0 ****<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 39.4 5 0 0 0 0 0 5<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 121
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Diseases <strong>of</strong> the respiratory system<br />
(J00-J98)<br />
Acute upper respiratory infections<br />
(J00-J06)<br />
Influenza and pneumonia (J10-<br />
J18)<br />
Influenza (J10-J11)<br />
Pneumonia (J12-J18)<br />
Acute bronchitis and acute<br />
bronchiolitis (J20-J21)<br />
Bronchitis, chronic and unspecified<br />
(J40-J42)<br />
Asthma (J45-J46)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 29.4 19 0 0 0 0 **** 18<br />
WM 10.6 **** 0 0 0 0 0 ****<br />
WF 11 **** 0 0 0 0 0 ****<br />
BM 59.9 8 0 0 0 0 **** 7<br />
BF 47.3 6 0 0 0 0 0 6<br />
OM 122.9 **** 0 0 0 0 0 ****<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 0 0 0 0 **** 5<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 22.5 **** 0 0 0 0 **** ****<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 0 0 0 0 **** 5<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 22.5 **** 0 0 0 0 **** ****<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 15.8 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 122 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Pneumonitis due to solids and<br />
liquids (J69)<br />
Other and unspecified diseases <strong>of</strong><br />
respiratory system (J22,J30-<br />
J39,J43-J44,J47-J68,J70-J98)<br />
Diseases <strong>of</strong> the digestive system<br />
(K00-K92)<br />
Gastritis, duodenitis, and<br />
noninfective enteritis and colitis<br />
(K29,K50-K55)<br />
Hernia <strong>of</strong> abdominal cavity and<br />
intestinal obstruction without<br />
hernia (K40-K46,K56)<br />
All other and unspecified diseases<br />
<strong>of</strong> digestive system (K00-K28,K30-<br />
K38,K57-K92)<br />
Diseases <strong>of</strong> the genitourinary<br />
system (N00-N98)<br />
Renal failure and other disorders<br />
<strong>of</strong> kidney (N17-N19,N25,N27)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 12.4 8 0 0 0 0 0 8<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 30 **** 0 0 0 0 0 ****<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 122.9 **** 0 0 0 0 0 ****<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 20.1 13 0 0 **** 0 **** 11<br />
WM 15.9 **** 0 0 0 0 **** ****<br />
WF 11 **** 0 0 0 0 0 ****<br />
BM 30 **** 0 0 **** 0 0 ****<br />
BF 31.6 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 13.9 9 0 0 **** 0 0 8<br />
WM 10.6 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 22.5 **** 0 0 **** 0 0 ****<br />
BF 23.7 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 4.6 **** 0 0 0 0 **** ****<br />
WM 5.3 **** 0 0 0 0 **** 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 0 **** 0 **** 0 ****<br />
WM 15.9 **** 0 0 0 **** 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 **** 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 0 **** 0 **** 0 ****<br />
WM 15.9 **** 0 0 0 **** 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 **** 0 0 0 0<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 123
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Other and unspecified diseases <strong>of</strong><br />
genitourinary system (N00-<br />
N15,N20-N23,N26,N28-N98)<br />
Certain conditions originating in<br />
the perinatal period (P00-P96)<br />
Newborn affected by maternal<br />
factors and by complications <strong>of</strong><br />
pregnancy, labor and delivery<br />
(P00-P04)<br />
Newborn affected by maternal<br />
hypertensive disorders (P00.0)<br />
Newborn affected by other<br />
maternal conditions which may be<br />
unrelated to present pregnancy<br />
(P00.1-P00.9)<br />
Newborn affected by maternal<br />
complications <strong>of</strong> pregnancy (P01)<br />
Newborn affected by incompetent<br />
cervix (P01.0)<br />
Newborn affected by premature<br />
rupture <strong>of</strong> membranes (P01.1)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 431.3 279 166 52 20 15 6 20<br />
WM 200.9 38 21 11 0 **** **** ****<br />
WF 253.4 46 30 8 **** **** **** ****<br />
BM 876.7 117 74 21 7 6 0 9<br />
BF 575.8 73 40 9 9 **** **** 8<br />
OM 491.4 **** **** **** **** 0 0 0<br />
OF 127.4 **** 0 **** 0 0 0 0<br />
ALL 88.1 57 48 **** **** **** **** ****<br />
WM 52.9 10 9 0 0 0 0 ****<br />
WF 55.1 10 10 0 0 0 0 0<br />
BM 157.4 21 18 0 0 **** 0 ****<br />
BF 126.2 16 11 **** **** 0 **** ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** **** 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** **** 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 55.7 36 29 **** **** **** 0 ****<br />
WM 26.4 5 5 0 0 0 0 0<br />
WF 27.5 5 5 0 0 0 0 0<br />
BM 112.4 15 12 0 0 **** 0 ****<br />
BF 86.8 11 7 **** **** 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 6.2 **** **** 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 15 **** **** 0 0 0 0 0<br />
BF 15.8 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 40.2 26 19 **** **** **** 0 ****<br />
WM 15.9 **** **** 0 0 0 0 0<br />
WF 22 **** **** 0 0 0 0 0<br />
BM 74.9 10 7 0 0 **** 0 ****<br />
BF 71 9 5 **** **** 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 124 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Newborn affected by multiple<br />
pregnancy (P01.5)<br />
Newborn affected by other<br />
maternal complications <strong>of</strong><br />
pregnancy (P01.2-P01.4,P01.6-<br />
P01.9)<br />
Newborn affected by complications<br />
<strong>of</strong> placenta, cord and membranes<br />
(P02)<br />
Newborn affected by complications<br />
involving placenta (P02.0-P02.3)<br />
Newborn affected by complications<br />
involving cord (P02.4-P02.6)<br />
Newborn affected by<br />
chorioamnionitis (P02.7)<br />
Newborn affected by other and<br />
unspecified abnormalities <strong>of</strong><br />
membranes (P02.8-P02.9)<br />
Newborn affected by other<br />
complications <strong>of</strong> labor and delivery<br />
(P03)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 3.1 **** **** 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 15 **** **** 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 6.2 **** **** 0 0 0 0 0<br />
WM 10.6 **** **** 0 0 0 0 0<br />
WF 5.5 **** **** 0 0 0 0 0<br />
BM 7.5 **** **** 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 24.7 16 14 0 0 0 **** ****<br />
WM 26.4 5 **** 0 0 0 0 ****<br />
WF 22 **** **** 0 0 0 0 0<br />
BM 30 **** **** 0 0 0 0 0<br />
BF 23.7 **** **** 0 0 0 **** 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 10.8 7 6 0 0 0 **** 0<br />
WM 10.6 **** **** 0 0 0 0 0<br />
WF 11 **** **** 0 0 0 0 0<br />
BM 7.5 **** **** 0 0 0 0 0<br />
BF 15.8 **** **** 0 0 0 **** 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 13.9 9 8 0 0 0 0 ****<br />
WM 15.9 **** **** 0 0 0 0 ****<br />
WF 11 **** **** 0 0 0 0 0<br />
BM 22.5 **** **** 0 0 0 0 0<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 4.6 **** **** 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** **** 0 0 0 0 0<br />
BM 7.5 **** **** 0 0 0 0 0<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 125
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Newborn affected by noxious<br />
influences transmitted via placenta<br />
or breast milk (P04)<br />
Disorders related to length <strong>of</strong><br />
gestation and fetal malnutrition<br />
(P05-P08)<br />
Slow fetal growth and fetal<br />
malnutrition (P05)<br />
Disorders related to short gestation<br />
and low birth weight, not<br />
elsewhere classified (P07)<br />
Extremely low birth weight or<br />
extreme immaturity (P07.0,P07.2)<br />
Other low birth weight or preterm<br />
(P07.1,P07.3)<br />
Disorders related to long gestation<br />
and high birth weight (P08)<br />
Birth trauma (P10-P15)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 1.5 **** **** 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 191.7 124 98 17 **** **** 0 ****<br />
WM 84.6 16 11 **** 0 **** 0 0<br />
WF 88.1 16 14 **** 0 0 0 0<br />
BM 457.1 61 49 9 0 **** 0 ****<br />
BF 244.5 31 24 **** **** 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 191.7 124 98 17 **** **** 0 ****<br />
WM 84.6 16 11 **** 0 **** 0 0<br />
WF 88.1 16 14 **** 0 0 0 0<br />
BM 457.1 61 49 9 0 **** 0 ****<br />
BF 244.5 31 24 **** **** 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 151.5 98 77 14 **** **** 0 ****<br />
WM 68.7 13 10 **** 0 0 0 0<br />
WF 71.6 13 11 **** 0 0 0 0<br />
BM 359.7 48 37 8 0 **** 0 ****<br />
BF 189.3 24 19 **** **** 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 40.2 26 21 **** 0 **** 0 ****<br />
WM 15.9 **** **** **** 0 **** 0 0<br />
WF 16.5 **** **** 0 0 0 0 0<br />
BM 97.4 13 12 **** 0 0 0 0<br />
BF 55.2 7 5 **** 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 126 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Intrauterine hypoxia and birth<br />
asphyxia (P20-P21)<br />
Intrauterine hypoxia (P20)<br />
Birth asphyxia (P21)<br />
Respiratory distress <strong>of</strong> newborn<br />
(P22)<br />
Other respiratory conditions<br />
originating in the perinatal period<br />
(P23-P28)<br />
Congenital pneumonia (P23)<br />
Neonatal aspiration syndromes<br />
(P24)<br />
Interstitial emphysema and related<br />
conditions originating in the<br />
perinatal period (P25)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 13.9 9 **** **** **** **** 0 ****<br />
WM 10.6 **** 0 **** 0 0 0 0<br />
WF 11 **** **** 0 0 **** 0 0<br />
BM 22.5 **** 0 **** **** 0 0 ****<br />
BF 15.8 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** **** 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 12.4 8 **** **** **** **** 0 ****<br />
WM 10.6 **** 0 **** 0 0 0 0<br />
WF 11 **** **** 0 0 **** 0 0<br />
BM 22.5 **** 0 **** **** 0 0 ****<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 26.3 17 **** 9 **** 0 **** ****<br />
WM 10.6 **** 0 **** 0 0 **** 0<br />
WF 16.5 **** 0 **** **** 0 0 0<br />
BM 52.5 7 **** **** **** 0 0 ****<br />
BF 23.7 **** 0 **** **** 0 0 0<br />
OM 122.9 **** **** 0 0 0 0 0<br />
OF 127.4 **** 0 **** 0 0 0 0<br />
ALL 51 33 10 11 **** 0 0 9<br />
WM 21.2 **** **** **** 0 0 0 ****<br />
WF 38.6 7 **** **** **** 0 0 ****<br />
BM 97.4 13 5 **** **** 0 0 ****<br />
BF 47.3 6 **** **** 0 0 0 ****<br />
OM 368.6 **** 0 **** **** 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 **** 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 **** 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 6.2 **** **** **** **** 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 11 **** **** 0 **** 0 0 0<br />
BM 7.5 **** 0 **** 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 122.9 **** 0 **** 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 127
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Pulmonary hemorrhage originating<br />
in the perinatal period (P26)<br />
Chronic respiratory disease<br />
originating in the perinatal period<br />
(P27)<br />
Atelectasis (P28.0-P28.1)<br />
All other respiratory conditions<br />
originating in the perinatal period<br />
(P28.2-P28.9)<br />
Infections specific to the perinatal<br />
period (P35-P39)<br />
Bacterial sepsis <strong>of</strong> newborn (P36)<br />
Omphalitis <strong>of</strong> newborn with or<br />
without mild hemorrhage (P38)<br />
All other infections specific to the<br />
perinatal period (P35,P37,P39)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 4.6 **** 0 **** **** 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 **** 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 245.7 **** 0 **** **** 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 13.9 9 0 0 0 0 0 9<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 22.5 **** 0 0 0 0 0 ****<br />
BF 31.6 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 24.7 16 9 7 0 0 0 0<br />
WM 15.9 **** **** **** 0 0 0 0<br />
WF 22 **** **** **** 0 0 0 0<br />
BM 52.5 7 5 **** 0 0 0 0<br />
BF 15.8 **** **** **** 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 21.6 14 0 **** **** **** **** 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 11 **** 0 0 0 0 **** 0<br />
BM 37.5 5 0 **** **** **** 0 0<br />
BF 55.2 7 0 **** **** **** **** 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 18.6 12 0 **** **** **** **** 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 **** 0<br />
BM 37.5 5 0 **** **** **** 0 0<br />
BF 47.3 6 0 **** 0 **** **** 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 **** 0 **** 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 **** 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 7.9 **** 0 0 **** 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 128 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Hemorrhagic and hematological<br />
disorders <strong>of</strong> newborn (P50-P61)<br />
Neonatal hemorrhage (P50-<br />
P52,P54)<br />
Hemorrhagic disease <strong>of</strong> newborn<br />
(P53)<br />
Hemolytic disease <strong>of</strong> newborn due<br />
to isoimmunization and other<br />
perinatal jaundice (P55-P59)<br />
Hematological disorders (P60-P61)<br />
Syndrome <strong>of</strong> infant <strong>of</strong> a diabetic<br />
mother and neonatal diabetes<br />
mellitus (P70.0-P70.2)<br />
Necrotizing enterocolitis <strong>of</strong><br />
newborn (P77)<br />
Hydrops fetalis not due to<br />
hemolytic disease (P83.2)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 7.7 5 0 **** 0 **** 0 0<br />
WM 10.6 **** 0 **** 0 **** 0 0<br />
WF 16.5 **** 0 **** 0 **** 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 7.7 5 0 **** 0 **** 0 0<br />
WM 10.6 **** 0 **** 0 **** 0 0<br />
WF 16.5 **** 0 **** 0 **** 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 12.4 8 0 **** **** **** **** 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 22.5 **** 0 **** **** 0 0 0<br />
BF 39.4 5 0 0 **** **** **** 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 **** 0 0 0 0<br />
WM 5.3 **** 0 **** 0 0 0 0<br />
WF 5.5 **** 0 **** 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 129
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Other perinatal conditions<br />
(P29,P70.3-P70.9,P71-P76,P78-<br />
P81,P83.0-P83.1,P83.3-<br />
P83.9,P90-P96)<br />
Congenital malformations,<br />
deformations and chromosomal<br />
abnormalities (Q00-Q99)<br />
Anencephaly and similar<br />
malformations (Q00)<br />
Congenital hydrocephalus (Q03)<br />
Spina bifida (Q05)<br />
Other congenital malformations <strong>of</strong><br />
nervous system (Q01-<br />
Q02,Q04,Q06-Q07)<br />
Congenital malformations <strong>of</strong> heart<br />
(Q20-Q24)<br />
Other congenital malformations <strong>of</strong><br />
circulatory system (Q25-Q28)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 15.5 10 5 0 **** **** 0 ****<br />
WM 5.3 **** 0 0 0 **** 0 0<br />
WF 11 **** **** 0 0 0 0 0<br />
BM 30 **** **** 0 **** **** 0 0<br />
BF 23.7 **** **** 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 168.5 109 39 15 14 6 **** 34<br />
WM 132.2 25 12 **** **** **** 0 6<br />
WF 159.7 29 12 5 **** **** 0 7<br />
BM 224.8 30 7 5 **** 0 **** 14<br />
BF 181.4 23 8 **** 5 **** 0 6<br />
OM 245.7 **** 0 **** 0 0 0 ****<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 12.4 8 6 **** **** 0 0 0<br />
WM 10.6 **** **** 0 0 0 0 0<br />
WF 22 **** **** 0 **** 0 0 0<br />
BM 7.5 **** 0 **** 0 0 0 0<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 4.6 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 23.7 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 6.2 **** **** 0 0 **** 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** **** 0 0 0 0 0<br />
BM 15 **** **** 0 0 0 0 ****<br />
BF 7.9 **** 0 0 0 **** 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 49.5 32 **** **** 9 **** 0 15<br />
WM 47.6 9 **** 0 **** **** 0 ****<br />
WF 44.1 8 **** 0 **** **** 0 ****<br />
BM 52.5 7 **** 0 **** 0 0 5<br />
BF 55.2 7 0 **** **** 0 0 ****<br />
OM 122.9 **** 0 0 0 0 0 ****<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 7.7 5 0 **** 0 **** 0 ****<br />
WM 5.3 **** 0 0 0 **** 0 0<br />
WF 5.5 **** 0 **** 0 0 0 0<br />
BM 15 **** 0 0 0 0 0 ****<br />
BF 7.9 **** 0 0 0 **** 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 130 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Congenital malformations <strong>of</strong><br />
respiratory system (Q30-Q34)<br />
Congenital malformations <strong>of</strong><br />
digestive system (Q35-Q45)<br />
Congenital malformations <strong>of</strong><br />
genitourinary system (Q50-Q64)<br />
Congenital malformations and<br />
deformations <strong>of</strong> musculoskeletal<br />
system, limbs and integument<br />
(Q65-Q85)<br />
Down's syndrome (Q90)<br />
Edward's syndrome (Q91.0-Q91.3)<br />
Patau's syndrome (Q91.4-Q91.7)<br />
Other congenital malformations<br />
and deformations (Q10-Q18,Q86-<br />
Q89)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 21.6 14 10 **** 0 0 **** ****<br />
WM 26.4 5 **** **** 0 0 0 ****<br />
WF 11 **** **** 0 0 0 0 0<br />
BM 37.5 5 **** 0 0 0 **** ****<br />
BF 15.8 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 7.7 5 5 0 0 0 0 0<br />
WM 15.9 **** **** 0 0 0 0 0<br />
WF 5.5 **** **** 0 0 0 0 0<br />
BM 7.5 **** **** 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 **** **** **** 0 0 ****<br />
WM 5.3 **** **** 0 0 0 0 0<br />
WF 11 **** 0 0 **** 0 0 ****<br />
BM 22.5 **** 0 **** 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 **** 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 **** 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 **** **** **** 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 11 **** 0 **** 0 0 0 0<br />
BM 7.5 **** 0 **** 0 0 0 0<br />
BF 23.7 **** **** **** **** 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 9.3 6 **** **** 0 0 0 ****<br />
WM 15.9 **** **** **** 0 0 0 ****<br />
WF 5.5 **** 0 **** 0 0 0 0<br />
BM 7.5 **** 0 **** 0 0 0 0<br />
BF 7.9 **** **** 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 24.7 16 8 **** 0 0 0 5<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 38.6 7 **** **** 0 0 0 ****<br />
BM 30 **** **** **** 0 0 0 ****<br />
BF 23.7 **** **** 0 0 0 0 0<br />
OM 122.9 **** 0 **** 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 131
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Other chromosomal abnormalities,<br />
not elsewhere classified (Q92-<br />
Q99)<br />
Symptoms, signs and abnormal<br />
clinical and laboratory findings, not<br />
elsewhere classified (R00-R99)<br />
Sudden infant death syndrome<br />
(R95)<br />
Other symptoms, signs and<br />
abnormal clinical and laboratory<br />
findings, not elsewhere classified<br />
(R00-R53,R55-R94,R96-R99)<br />
All other diseases (Residual) (F01-<br />
F99,H00-H57,L00-M99)<br />
External causes <strong>of</strong> mortality (V01-<br />
Y89)<br />
Accidents (V01-X59,Y85-Y86)<br />
Transport accidents (V01-<br />
V99,Y85)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 1.5 **** 0 0 **** 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 **** 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 129.9 84 5 **** **** 0 **** 70<br />
WM 105.8 20 **** **** 0 0 0 16<br />
WF 104.7 19 **** 0 **** 0 **** 14<br />
BM 172.3 23 **** **** **** 0 0 19<br />
BF 165.6 21 0 0 **** 0 0 20<br />
OM 122.9 **** 0 0 0 0 0 ****<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 108.2 70 0 0 **** 0 **** 63<br />
WM 84.6 16 0 0 0 0 0 16<br />
WF 82.6 15 0 0 **** 0 **** 11<br />
BM 134.9 18 0 0 **** 0 0 16<br />
BF 157.8 20 0 0 **** 0 0 19<br />
OM 122.9 **** 0 0 0 0 0 ****<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 21.6 14 5 **** 0 0 0 7<br />
WM 21.2 **** **** **** 0 0 0 0<br />
WF 22 **** **** 0 0 0 0 ****<br />
BM 37.5 5 **** **** 0 0 0 ****<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 **** 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 0 0 **** 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 58.7 38 0 **** **** **** **** 34<br />
WM 74 14 0 **** **** 0 0 12<br />
WF 38.6 7 0 0 0 **** 0 6<br />
BM 74.9 10 0 0 0 0 0 10<br />
BF 55.2 7 0 0 0 0 **** 6<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 51 33 0 **** **** **** **** 29<br />
WM 63.5 12 0 **** **** 0 0 10<br />
WF 33.1 6 0 0 0 **** 0 5<br />
BM 59.9 8 0 0 0 0 0 8<br />
BF 55.2 7 0 0 0 0 **** 6<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 132 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Motor vehicle accidents (V02-<br />
V04,V09.0,V09.2,V12-V14,V19.0-<br />
V19.2,V19.4-V19.6,V20-V79,<br />
V80.3-V80.5,V81.0-V81.1,V82.0-<br />
V82.1,V83-V86,V87.0-V87.8,<br />
V88.0-V88.8,V89.0,V89.2)<br />
Other and unspecified transport<br />
accidents & their sequelae (V01,<br />
V05-V06,V09.1,V09.3-V09.9,V10-<br />
V11,V15-V18,V19.3,V19.8-V19.9,<br />
V80.0-V80.2,V80.6-V80.9,V81.2-<br />
V81.9,V82.2-V82.9,V87.9,V88.9,<br />
V89.1,V89.3,V89.9,V90-V99,Y85)<br />
Falls (W00-W19)<br />
Accidental discharge <strong>of</strong> firearms<br />
(W32-W34)<br />
Accidental drowning and<br />
submersion (W65-W74)<br />
Accidental suffocation and<br />
strangulation in bed (W75)<br />
Other accidental suffocation and<br />
strangulation (W76-W77,W81-<br />
W84)<br />
Accidental inhalation and ingestion<br />
<strong>of</strong> food or other objects causing<br />
obstruction <strong>of</strong> respiratory tract<br />
(W78-W80)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 24.7 16 0 **** 0 **** **** 13<br />
WM 31.7 6 0 **** 0 0 0 5<br />
WF 16.5 **** 0 0 0 **** 0 ****<br />
BM 22.5 **** 0 0 0 0 0 ****<br />
BF 31.6 **** 0 0 0 0 **** ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 12.4 8 0 0 **** 0 0 7<br />
WM 26.4 5 0 0 **** 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 15 **** 0 0 0 0 0 ****<br />
BF 7.9 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 15.8 **** 0 0 0 0 0 ****<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 133
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Accidents caused by exposure to<br />
smoke, fire and flames (X00-X09)<br />
Accidental poisoning and exposure<br />
to noxious substances (X40-X49)<br />
Other and unspecified accidents<br />
and their sequelae (W20-<br />
W31,W35-W64,W85-W99,X10-<br />
X39,X50-X59,Y86)<br />
Assault (homicide) (X85-<br />
Y09,Y87.1)<br />
Assault (homicide) by hanging,<br />
strangulation and suffocation (X91)<br />
Assault (homicide) by discharge <strong>of</strong><br />
firearms (X93-X95)<br />
Neglect, abandonment and other<br />
maltreatment syndromes (Y06-<br />
Y07)<br />
Assault (homicide) by other and<br />
unspecified means and their<br />
sequelae (X85-X90,X92,X96-<br />
X99,Y00-Y05,Y08-Y09,Y87.1)<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 6.2 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 15 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 0 0 0 0 0 0 0 0<br />
WF 5.5 **** 0 0 0 0 0 ****<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 3.1 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 7.5 **** 0 0 0 0 0 ****<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
Page 134 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT INFANT MORTALITY: Selected Causes<br />
Table 6.9: Infant Deaths (Exclusive <strong>of</strong> Fetal Deaths) by Selected Causes ICD-10 Codes,<br />
Race-Gender and Age, <strong>Louisiana</strong>, <strong>2003</strong><br />
Cause <strong>of</strong> Death and ICD-10 Code Race-<br />
Gender<br />
Complications <strong>of</strong> medical and<br />
surgical care (Y40-Y84,Y88)<br />
Other external causes and their<br />
sequelae (X60-X84,Y10-<br />
Y36,Y87.0,Y87.2,Y89)<br />
+ Rate Per 100,000 Live Births<br />
**** Cells suppressed to maintain confidentiality<br />
+<br />
Rate<br />
Age at Death in Days<br />
Total LT 1 1-6 7-13 14-20 21-27 28-364<br />
ALL 0 0 0 0 0 0 0 0<br />
WM 0 0 0 0 0 0 0 0<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
ALL 1.5 **** 0 0 0 0 0 ****<br />
WM 5.3 **** 0 0 0 0 0 ****<br />
WF 0 0 0 0 0 0 0 0<br />
BM 0 0 0 0 0 0 0 0<br />
BF 0 0 0 0 0 0 0 0<br />
OM 0 0 0 0 0 0 0 0<br />
OF 0 0 0 0 0 0 0 0<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 135
INFANT MORTALITY: Selected Causes <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Page 136 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT MARRIAGE AND DIVORCE<br />
MARRIAGES<br />
AND DIVORCES<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 137
MARRIAGE AND DIVORCE <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Page 138 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT MARRIAGE AND DIVORCE<br />
Purpose <strong>of</strong> Surveillance<br />
INTRODUCTION<br />
Marriage and divorce certificates serve as legal documentation <strong>of</strong> marital status and provide limited surveillance information<br />
useful in describing current and changing societal attitudes that impact individual and family relationships. Successful marriages<br />
<strong>of</strong>ten result in emotional and economic supports helpful in achieving adequate levels <strong>of</strong> health and living standards for family<br />
members. Divorce is associated with the loss <strong>of</strong> psychological and economic support, as well as an increase in the risk <strong>of</strong> poor<br />
health and economic disadvantage for family members. Changes in marriage and divorce rates and demographics, such as the<br />
average age at marriage, can indicate population shifts in family size and family economic stability.<br />
Source <strong>of</strong> Data: Certificate <strong>of</strong> Marriage<br />
Information on marriages presented in this report is obtained from data recorded on the Certificate <strong>of</strong> Marriage completed for<br />
marriages that occurred in <strong>Louisiana</strong> in the <strong>2003</strong> calendar year. <strong>Louisiana</strong> law requires that marriage certificates be submitted<br />
by the parish clerks <strong>of</strong> court to the <strong>Vital</strong> Records Registry prior to the tenth <strong>of</strong> the month following the marriage. The law also<br />
requires that the Social Security numbers <strong>of</strong> the bride and groom remain confidential.<br />
Source <strong>of</strong> Data: Certificate <strong>of</strong> Divorce or Annulment<br />
Divorce information presented in this report is obtained from the Certificate <strong>of</strong> Divorce or Annulment and from summary divorce<br />
counts submitted by parish clerks <strong>of</strong> court for divorces that occurred in <strong>Louisiana</strong> in the <strong>2003</strong> calendar year. <strong>Louisiana</strong> law<br />
requires that divorce certificates be submitted to the <strong>Vital</strong> Records Registry prior to the tenth <strong>of</strong> the month following the divorce,<br />
and that the identities <strong>of</strong> the registrants remain confidential.<br />
Unfortunately, many <strong>Louisiana</strong> parishes do not submit divorce certificates to the central registry, and incomplete information is<br />
submitted by many parishes which do file these certificates. The divorce tabulations included in this report reflect summary<br />
divorce counts made by the clerks <strong>of</strong> court, as well as data derived from actual certificates received in the central <strong>of</strong>fice.<br />
Because <strong>of</strong> poor reporting, <strong>Louisiana</strong> is excluded from the national divorce registration system.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 139
MARRIAGE AND DIVORCE <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
MARRIAGE<br />
Counts and Rates<br />
The number <strong>of</strong> marriages by parish in <strong>2003</strong> is presented in table 7.1. In <strong>2003</strong>, 37,288 marriages were celebrated in <strong>Louisiana</strong>,<br />
an increase from 36,545 in 2002 (Table 7.2).<br />
<strong>Louisiana</strong>’s <strong>2003</strong> marriage rate was 8.3 per 1,000 population. The rate for 2002 was 8.2 (Table 7.2). National and state<br />
marriage rates were approximately equal in the early 1990s, but the state rate rose to a level slightly higher than the national<br />
rate as the decade progressed.<br />
Parish<br />
By Parish <strong>of</strong><br />
Issue <strong>of</strong><br />
License<br />
Table 7.1 Number <strong>of</strong> Marriages by Parish,<br />
<strong>Louisiana</strong> <strong>2003</strong><br />
By Parish <strong>of</strong><br />
Occurrence<br />
Page 140 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong><br />
Parish<br />
By Parish <strong>of</strong><br />
Issue <strong>of</strong><br />
License<br />
By Parish <strong>of</strong><br />
Occurrence<br />
Acadia 458 507 Morehouse 183 190<br />
Allen 203 229 Natchitoches 328 333<br />
Ascension 648 618 Orleans 5229 5950<br />
Assumption 171 171 Ouachita 1042 993<br />
Avoyelles 355 359 Plaquemines 165 173<br />
Beauregard 314 329 Pointe Coupee 131 157<br />
Bienville 104 124 Rapides 1129 1093<br />
Bossier 747 831 Red River 88 81<br />
Caddo 2301 2034 Richland 163 174<br />
Calcasieu 1936 1772 Sabine 195 214<br />
Caldwell 99 94 St. Bernard 530 476<br />
Cameron 63 89 St. Charles 317 288<br />
Catahoula 90 94 St. Helena 49 66<br />
Claiborne 101 117 St. James 122 178<br />
Concordia 171 174 St. John 236 234<br />
DeSoto 196 242 St. Landry 699 681<br />
East Baton Rouge 3554 3162 St. Martin 284 333<br />
East Carroll 32 51 St. Mary 408 419<br />
East Feliciana 128 162 St. Tammany 1846 1705<br />
Evangeline 238 267 Tangipahoa 929 834<br />
Franklin 176 176 Tensas 31 36<br />
Grant 108 145 Terrebonne 800 884<br />
Iberia 521 516 Union 167 183<br />
Iberville 197 218 Vermilion 446 446<br />
Jackson 128 114 Vernon 631 620<br />
Jefferson 2932 2720 Washington 409 394<br />
Jefferson Davis 221 232 Webster 318 294<br />
Lafayette 1605 1467 West Baton Rouge 191 179<br />
Lafourche 684 617 West Carroll 82 89<br />
LaSalle 151 150 West Feliciana 83 146<br />
Lincoln 340 291 Winn 108 144<br />
Livingstone 762 886 Out <strong>of</strong> State - 157<br />
Madison 215 183 State Total 37288 37288<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT MARRIAGE AND DIVORCE<br />
Table 7.2 Marriages in <strong>Louisiana</strong> and United States, 1990 - <strong>2003</strong><br />
<strong>Louisiana</strong> United States<br />
Year Number Rate + Rate +<br />
1990 40443 9.6 9.8<br />
1991 39161 9.3 9.4<br />
1992 40053 9.4 9.3<br />
1993 39364 9.1 9.0<br />
1994 40405 9.4 9.1<br />
1995 40516 9.3 8.9<br />
1996 40221 9.2 8.8<br />
1997 39662 9.1 8.9<br />
1998 39544 9.1 8.4<br />
1999 41343 9.5 8.6<br />
2000 40561 9.1 8.4 1<br />
2001 37628 8.4 8.2 2<br />
2002 36545 8.2 7.8 3<br />
<strong>2003</strong> 37288 8.3 7.7 4<br />
+ Rate per 1,000 population<br />
US Marriage Rates: Births, Marriages, Divorces, and Deaths: 1 2000 (NVSR, Volume 51, Number 10),<br />
2 2001 (Volume 52, Number 22), 3 2002 (Volume 53, Number 21), 4 <strong>2003</strong> (Volume 54, Number 20,<br />
Marriage rates may be underestimated because <strong>of</strong> incomplete reporting in Oklahoma).<br />
<strong>Louisiana</strong> rates are based on parish <strong>of</strong> occurrence.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>, National Center for Health <strong>Statistics</strong><br />
Age <strong>of</strong> the Bride and Groom<br />
In <strong>2003</strong>, the 27.5 percent <strong>of</strong> <strong>Louisiana</strong> brides were in the 20-24 year age group, while 22.4 percent <strong>of</strong> the grooms were both in<br />
the 20-24 and 25-29 year age groups (Table 7.3).<br />
Age <strong>of</strong><br />
Groom<br />
Table 7.3 Number <strong>of</strong> Marriages by Age <strong>of</strong> Groom and Age <strong>of</strong> Bride<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Age <strong>of</strong> Bride<br />
Total<br />
Less than 15 15-17 18-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 &+ Unk.<br />
Total 37288 3 379 2521 10253 7733 5149 3681 2891 2121 1169 610 351 211 199 17<br />
Under 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0<br />
15-17 58 0 23 19 9 **** **** **** 0 0 0 0 0 0 **** 0<br />
18-19 1049 0 130 551 294 51 6 **** 0 0 0 0 0 0 0 0<br />
20-24 8355 **** 185 1541 5300 1007 224 66 19 7 **** 0 0 0 **** ****<br />
25-29 8344 **** 29 298 3384 3432 884 232 60 12 6 **** **** 0 0 ****<br />
30-34 5753 0 **** 64 860 2071 1819 642 193 69 21 6 **** 0 0 ****<br />
35-39 4059 0 5 25 256 759 1195 1121 479 167 38 10 **** 0 **** ****<br />
40-44 3188 **** **** 8 105 263 608 842 835 389 97 29 **** **** **** ****<br />
45-49 2419 0 0 5 30 97 261 459 655 620 210 52 18 7 **** ****<br />
50-54 1697 0 **** 7 10 33 92 191 391 475 372 90 21 10 **** ****<br />
55-59 975 0 **** 0 **** 11 32 70 155 229 230 185 48 11 **** 0<br />
60-64 599 0 0 0 0 5 12 31 62 97 118 132 103 31 7 ****<br />
65-69 343 0 0 0 0 **** **** 9 29 28 43 63 88 63 16 0<br />
70 &+ 444 0 0 **** **** 0 **** 9 12 27 33 41 63 86 165 ****<br />
Unk. 5 0 0 **** 0 **** **** 0 0 0 0 0 0 0 0 ****<br />
**** Cell suppressed to protect confidentiality.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 141
MARRIAGE AND DIVORCE <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
The average age <strong>of</strong> <strong>Louisiana</strong> brides in <strong>2003</strong> was 41.7 years, while the average for grooms was 45.2 years. Over the past few<br />
years, there has been a steady increase in the ages <strong>of</strong> men and women who marry in the state (Table 7.4).<br />
Table 7.4 Average and Median Ages <strong>of</strong> Brides and Grooms<br />
<strong>Louisiana</strong>, 1993-<strong>2003</strong><br />
Year <strong>of</strong> Average Age in Years Median Age in Years<br />
Marriage Bride Groom Bride Groom<br />
1993 28.7 31.0 25.4 27.6<br />
1994 29.0 31.0 25.6 27.8<br />
1995 29.4 32.0 26.1 28.2<br />
1996 29.6 32.0 26.3 28.4<br />
1997 29.8 32.3 26.4 28.7<br />
1998 30.0 32.4 26.7 28.8<br />
1999 30.0 32.4 26.8 28.9<br />
2000 30.5 33.0 27.2 29.4<br />
2001 30.6 33.0 27.2 29.4<br />
2002 30.9 33.4 27.2 29.6<br />
<strong>2003</strong> 41.7 45.2 40.1 43.4<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>,<br />
During the period 1991-<strong>2003</strong>, there was a decrease in the rates <strong>of</strong> marriage in the 15-19 and 20-24 year age groups for both<br />
men and women (Table 7.5).<br />
Year<br />
Table 7.5 Marriage Rates + by Gender and Age, Selected Years<br />
<strong>Louisiana</strong>, 1991-<strong>2003</strong><br />
15-19 20-24 25-29 30-44<br />
Female Male Female Male Female Male Female Male<br />
1991 34.7 13.6 70.7 66.6 46.9 67.4 20.3 24.7<br />
1994 29.4 11.5 70.4 65.1 52.1 63.3 22.6 26.9<br />
1997 22.6 8.6 64.9 55.6 55.7 64.8 23.3 27.9<br />
2001* 18.0 6.6 61.9 52.6 51.4 57.6 23.5 27.6<br />
2002 17.2 6.2 56.6 46.4 50.7 57.0 23.3 27.4<br />
<strong>2003</strong> 17.1 6.3 57.4 46.7 51.4 56.6 24.2 28.2<br />
+<br />
Rate per 1,000 gender/age-specific population. * Note: Population estimates for 2002 were used to calculate age-specific rates.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Prior Marital Status<br />
In <strong>2003</strong>, 44.3% <strong>of</strong> all marriages were first marriages performed in <strong>Louisiana</strong> for both the bride and the groom; 54.4% <strong>of</strong> brides<br />
and 54.3% <strong>of</strong> grooms stated that they had never been married (Table 7.6). In 21.9% <strong>of</strong> the marriages, both the bride and the<br />
groom were previously divorced while 33.8% <strong>of</strong> all brides and 34.4% <strong>of</strong> all grooms stated that they were previously divorced.<br />
Page 142 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT MARRIAGE AND DIVORCE<br />
Table 7.6 Number <strong>of</strong> Marriages by Previous Marital Status <strong>of</strong> Bride and Groom<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Previous Marital Status <strong>of</strong> Bride<br />
Previous Marital Status Never Marriage<br />
<strong>of</strong> Groom Total Married Widowed Divorced Annulled<br />
Unknown<br />
All 37288 20278 1221 12606 91 3092<br />
Never Married 20257 16530 184 3449 31 63<br />
Widowed 1066 125 380 532 4 25<br />
Divorced 12840 3542 613 8164 16 505<br />
Marriage Annulled 116 39 6 28 40 3<br />
Unknown 3009 42 38 433 - 2496<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Table 7.7 Percent <strong>of</strong> Marriages by Previous Marital Status in Selected Years<br />
<strong>Louisiana</strong>, 1991-<strong>2003</strong><br />
Never Married Divorced<br />
Year Bride Groom Both Bride Groom Both<br />
1991 61.9 62.4 50.5 32.8 32.3 20.4<br />
1994 60.6 61.1 49.1 34.3 34.4 21.7<br />
1997 58.5 59.3 47.2 35.3 35.4 22.5<br />
2000 58.8 58.7 47.3 35.2 35.8 23.0<br />
2001 55.4 55.9 45.0 33.3 33.4 21.3<br />
2002 46.0 45.6 37.1 34.5 35.4 22.5<br />
<strong>2003</strong> 54.4 54.3 44.3 33.8 34.4 21.9<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
Table 7.8 Average and Median Age <strong>of</strong> Bride and Groom at this Marriage by Previous Marital Status<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Average Age Median Age<br />
Previous Marital Status Bride Groom Bride Groom<br />
All 30.9 33.4 27.2 29.6<br />
Bride Previously Unmarried, Groom Previously Unmarried 24.6 26.5 22.8 24.5<br />
Bride Previously Unmarried, Groom Previously Married 30.4 36.8 28.2 34.3<br />
Bride Previously Married, Groom Previously Unmarried 33.7 32.8 31.6 30.7<br />
Bride Previously Married, Groom Previously Married 41.7 45.2 40.1 43.4<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 143
MARRIAGE AND DIVORCE <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Race <strong>of</strong> Bride and Groom<br />
In the year <strong>2003</strong>, 95.7% <strong>of</strong> <strong>Louisiana</strong> marriages were between brides and grooms <strong>of</strong> the same race. This percentage excluded<br />
brides or grooms <strong>of</strong> unknown race and assumed that brides and grooms <strong>of</strong> other races, i.e., other than black or white, were <strong>of</strong><br />
the same race (Table 7.9).<br />
Month <strong>of</strong> Marriage<br />
Table 7.9 Number <strong>of</strong> Marriages by Race <strong>of</strong> Groom and Race <strong>of</strong> Bride<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Race <strong>of</strong><br />
Groom<br />
All Races<br />
White<br />
Race <strong>of</strong> Bride<br />
Page 144 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong><br />
Black<br />
Other<br />
Unknown<br />
All Races 37288 26163 10490 619 16<br />
White 25913 25290 363 254 ****<br />
Black 10842 675 10104 60 ****<br />
Other 521 193 23 305 0<br />
Unknown 12 5 0 0 7<br />
**** Suppressed to protect confidentiality.<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.<br />
On average, there were 3,107 marriages celebrated in <strong>Louisiana</strong> each month in the year <strong>2003</strong>. In January, the number<br />
decreased to 2,057 (5.5% <strong>of</strong> all marriages); in May, it increased to 3,846 or 10.3% <strong>of</strong> all marriages (Table 7.10).<br />
Table 7.10 Number and Percent <strong>of</strong> Marriages By Month <strong>of</strong> Occurrence<br />
<strong>Louisiana</strong>, <strong>2003</strong><br />
Daily<br />
Month Number Percent Average<br />
Total 37288 100 102<br />
January 2057 5.5 66<br />
February 3124 8.4 112<br />
March 3299 8.8 106<br />
April 3158 8.5 105<br />
May 3846 10.3 124<br />
June 3782 10.1 126<br />
July 3342 9 108<br />
August 3329 8.9 107<br />
September 2595 7 87<br />
October 2991 8 96<br />
November 3146 8.4 105<br />
December 2619 7 84<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong>.
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT MARRIAGE AND DIVORCE<br />
DIVORCES <strong>2003</strong><br />
Counts<br />
Divorce reports for <strong>2003</strong> were submitted by all the 64 parishes in <strong>Louisiana</strong>. There were a total <strong>of</strong> 15,230 divorces and 25<br />
annulments in <strong>Louisiana</strong> (Table 7.11).<br />
Parish<br />
Table 7.11 Number <strong>of</strong> Final Divorces and Annulments Granted by Parish,<br />
<strong>Louisiana</strong> <strong>2003</strong><br />
Divorces by<br />
Parish<br />
Granting<br />
Decree<br />
Annulments<br />
by Parish<br />
Granting<br />
Decree<br />
<strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong> Page 145<br />
Parish<br />
Divorces by<br />
Parish<br />
Granting<br />
Decree<br />
Annulments<br />
by Parish<br />
Granting<br />
Decree<br />
STATE 15230 25 Madison 36 0<br />
Acadia 198 0 Morehouse 130 ****<br />
Allen 12 0 Natchitoches 124 0<br />
Ascension 438 0 Orleans 1468 0<br />
Assumption 95 0 Ouachita 737 ****<br />
Avoyelles 84 0 Plaquemines 142 0<br />
Beauregard 154 0 Pointe Coupee 56 ****<br />
Bienville 35 0 Rapides 492 ****<br />
Bossier 495 **** Red River 23 0<br />
Caddo 365 0 Richland 8 0<br />
Calcasieu 950 0 Sabine 126 ****<br />
Caldwell 67 **** St. Bernard 285 0<br />
Cameron 44 0 St. Charles 215 0<br />
Catahoula 48 0 St. Helena 19 0<br />
Claiborne 59 0 St. James 26 0<br />
Concordia 63 0 St. John **** 0<br />
DeSoto 20 0 St. Landry 185 0<br />
East Baton Rouge 1769 **** St. Martin 73 0<br />
East Carroll 15 0 St. Mary 135 0<br />
East Feliciana 65 0 St. Tammany 457 0<br />
Evangeline 123 0 Tangipahoa 224 0<br />
Franklin 146 **** Tensas **** 0<br />
Grant 96 0 Terrebonne 539 0<br />
Iberia 125 0 Union 89 0<br />
Iberville 46 0 Vermilion 176 ****<br />
Jackson 47 0 Vernon 95 ****<br />
Jefferson 1731 5 Washington 78 ****<br />
Jefferson Davis 148 0 Webster 181 0<br />
Lafayette 303 **** West Baton Rouge 91 0<br />
Lafourche 369 0 West Carroll 72 0<br />
LaSalle 67 0 West Feliciana 31 0<br />
Lincoln 117 0 Winn 65 0<br />
Livingstone 552 0 Out <strong>of</strong> State * *<br />
Source: <strong>Louisiana</strong> State Center for Health <strong>Statistics</strong><br />
* No Divorce or Annulment data reported by clerk <strong>of</strong> court.<br />
**** Suppressed to protect confidentiality.
MARRIAGE AND DIVORCE <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT TECHNICAL NOTES<br />
TECHNICAL NOTES<br />
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TECHNICAL NOTES <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Page 148 <strong>Louisiana</strong> Office <strong>of</strong> Public Health, State Center for Health <strong>Statistics</strong>
<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT TECHNICAL NOTES<br />
TECHNICAL NOTES<br />
DATA SOURCES, COMPLETENESS, AND IMPUTATIONS<br />
Sources <strong>of</strong> Data<br />
<strong>Louisiana</strong> law requires that certificates <strong>of</strong> vital events be submitted to the <strong>Department</strong> <strong>of</strong> Health and Hospitals, Office <strong>of</strong> Public<br />
Health, <strong>Vital</strong> Records Registry Program. The <strong>Vital</strong> Records Registry Program is charged with the responsibility <strong>of</strong> recording and<br />
preserving the submitted documents. The Office <strong>of</strong> Public Health's State Center for Health <strong>Statistics</strong> is assigned the tasks <strong>of</strong><br />
tabulating, analyzing, summarizing, and disseminating statistical information recorded on vital certificates.<br />
Unless otherwise noted, statistics presented in this report were obtained from information found on certificates registered with<br />
the <strong>Vital</strong> Records Registry Program and analyzed by the State Center for Health <strong>Statistics</strong>. Records <strong>of</strong> vital events occurring<br />
outside the state to residents <strong>of</strong> <strong>Louisiana</strong> were obtained from transcripts <strong>of</strong> certificates made available through a nationwide<br />
system <strong>of</strong> interchange among all states and territories. National-level data were extracted from publications <strong>of</strong> the National<br />
Center for Health <strong>Statistics</strong>.<br />
United States data were obtained from publications <strong>of</strong> the National Center for Health <strong>Statistics</strong>. Data and information other than<br />
that provided from the <strong>Vital</strong> Records Registry Program are footnoted wherever they appear in this report.<br />
Completeness <strong>of</strong> Data<br />
Births: Matching <strong>of</strong> infant death certificates with the corresponding birth certificates indicates that birth registration in <strong>Louisiana</strong><br />
is approximately 97 percent complete 1 . This figure is considered an underestimate <strong>of</strong> completed certificates, since some<br />
certificates may fail to be included in the matching process due to differences in key variables on the birth and death certificates.<br />
Under-registration <strong>of</strong> births for infants who die shortly after they are born is another contributing factor and in some cases<br />
birthing facilities have not registered births in a timely fashion.<br />
Deaths: Death registration is considered to be close to 100 percent complete, as each death certificate is tied to a burial permit<br />
issued by the State. However, it is recognized that some under-registration does occur: certificates may not be issued for<br />
infants dying shortly after birth or for the unclaimed remains <strong>of</strong> a decedent.<br />
Spontaneous Fetal Deaths: The extent <strong>of</strong> completeness <strong>of</strong> information on spontaneous fetal deaths (stillbirths) is not known,<br />
but some under-registration is likely, especially for those occurring near 20 weeks gestation.<br />
Induced Termination <strong>of</strong> Pregnancy: The <strong>Vital</strong> Records Registry receives certificates on most abortions performed in<br />
<strong>Louisiana</strong>, but the information recorded on the filed certificates is <strong>of</strong>ten incomplete. Although some states notify <strong>Louisiana</strong> <strong>of</strong><br />
abortions obtained by <strong>Louisiana</strong> residents, <strong>Louisiana</strong> cannot reciprocate; a federal court decision prohibits the collection <strong>of</strong><br />
residency information on women who terminate pregnancies within the state. Hence, no accurate count <strong>of</strong> terminations among<br />
<strong>Louisiana</strong> residents is available.<br />
1 National Center for Health <strong>Statistics</strong>, “Infant Mortality <strong>Statistics</strong> from the 2000 Period Linked Birth/Infant Death Data Set” National <strong>Vital</strong><br />
<strong>Statistics</strong> <strong>Report</strong> 50:12 (Aug. 2002):22<br />
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TECHNICAL NOTES <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Marriage: The statistics presented in the <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong> are based upon Marriage Certificates filed annually with the<br />
<strong>Vital</strong> Records Registry for marriages occurring in the state. These data are incomplete since the total number <strong>of</strong> marriages<br />
celebrated in each parish may not be reported to the state <strong>Vital</strong> Records Registry.<br />
Divorce: <strong>Louisiana</strong> divorce statistics are more complete than previous years. In 2002, 78% <strong>of</strong> the parishes in the state failed to<br />
report divorce information to the <strong>Vital</strong> Records Registry. The divorce tabulations reported by the State Center for Health<br />
<strong>Statistics</strong> included counts made by the Clerks <strong>of</strong> Courts as well as data derived from actual certificates received in the central<br />
<strong>of</strong>fice. Because <strong>of</strong> the magnitude <strong>of</strong> its underreporting, <strong>Louisiana</strong> is excluded from the national divorce registration system.<br />
Missing Data<br />
In the State Summary sections <strong>of</strong> this report, data presented in tables and figures exclude records that are missing the<br />
information being described. In the Parish and Region Tables, however, missing data have been imputed as follows:<br />
"Sex (Gender)" is allocated male or female depending on whether the last digit <strong>of</strong> the record identification number is even or<br />
odd, except in the case <strong>of</strong> death where the underlying cause is sex-specific.<br />
"Race" is assigned to match that <strong>of</strong> the previous record, giving a probability <strong>of</strong> assignment to white, black, or other that is<br />
consistent with the racial distribution <strong>of</strong> the data set.<br />
"Parish <strong>of</strong> Residence" is assumed to be "Parish <strong>of</strong> Occurrence" when residence parish is missing for live births or for infants<br />
dying under 1 year <strong>of</strong> age.<br />
Place <strong>of</strong> Residence vs. Place <strong>of</strong> Occurrence<br />
<strong>Vital</strong> events are classified by Place <strong>of</strong> Residence or by Place <strong>of</strong> Occurrence. Place <strong>of</strong> Residence is defined as the residence <strong>of</strong><br />
the deceased for a death and as the residence <strong>of</strong> the mother for a birth or stillbirth. Place <strong>of</strong> Occurrence is defined as the<br />
geographic location where the event occurred. All tables refer to events occurring to <strong>Louisiana</strong> residents except as noted.<br />
Cities Located in Two Parishes<br />
The following cities span parish boundaries:<br />
Bossier City – Primarily in Bossier Parish, partly in Caddo Parish.<br />
Shreveport – Primarily in Caddo Parish, partly in Bossier Parish.<br />
Eunice – Primarily in St. Landry Parish, partly in Acadia Parish.<br />
De Ridder – Primarily in Beauregard Parish, partly in Vernon Parish.<br />
In this report, the city is reported as a single entity in the primary parish, and all events are allocated to that city. However, at the<br />
parish level the event is allocated to the actual parish <strong>of</strong> occurrence. As an illustration, if a birth occurs in the portion <strong>of</strong><br />
Shreveport that falls in Bossier Parish, it is reported in the Shreveport city count printed below Caddo Parish, but is not included<br />
in the Caddo Parish birth count. It is, instead, included in the Bossier Parish birth count. There is a possibility that this<br />
reallocation may show more events in a city than in the parish where the city is primarily located.<br />
Comparability <strong>of</strong> National and State Data<br />
Numbers and rates published in state tables by the National Center for Health <strong>Statistics</strong> (NCHS) may vary slightly from data<br />
published by <strong>Louisiana</strong>’s State Center for Health <strong>Statistics</strong> due to differences in the assumptions applied to the data.<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT TECHNICAL NOTES<br />
PARISH AND REGION TABLES<br />
For online readers <strong>of</strong> this report, parish and region tables can be found under the <strong>Vital</strong> <strong>Statistics</strong> Data Tables for the year 2001<br />
in the Center’s Directory <strong>of</strong> <strong>Vital</strong> <strong>Statistics</strong> Publications at: http://www.oph.dhh.state.la.us/recordsstatistics/statistics<br />
Parish Tables<br />
Tables included in the Parish Tables sections <strong>of</strong> this report contain data for <strong>Louisiana</strong>’s 64 parishes and for the major cities<br />
within each parish. Data entries for major cities are listed below the parish entries. Cities are labeled with an asterisk (*)<br />
following the city name.<br />
All crude rates included in the Parish Tables sections <strong>of</strong> this report have been calculated using <strong>Louisiana</strong> Technical University<br />
(LATech) Data for 2001. All age-adjusted rates included in the Deaths section <strong>of</strong> this report have been calculated using U.S.<br />
Census Data for 2000 and the 2000 U.S. Standard population.<br />
Health Region Tables<br />
Tables included in the Region Tables sections <strong>of</strong> this report contain data for the Office <strong>of</strong> Public Health’s nine administrative<br />
regions. These regions contain the following parishes:<br />
Region 1 (Metropolitan) Region 4 (Acadian) Region 6 (Central) Region 8 (Northeast)<br />
Jefferson Acadia Avoyelles Caldwell<br />
Orleans Evangeline Catahoula East Carroll<br />
Plaquemines Iberia Concordia Franklin<br />
St. Bernard Lafayette Grant Jackson<br />
St. Landry LaSalle Lincoln<br />
St. Martin Rapides Madison<br />
Region 2 (Capitol) Vermilion Vernon Morehouse<br />
Ascension Winn Ouachita<br />
East Baton Rouge Richland<br />
East Feliciana Region 5 (Southwest) Tensas<br />
Iberville Allen Region 7 (Northwest) Union<br />
Pointe Coupee Beauregard Bienville West Carroll<br />
West Baton Rouge Calcasieu Bossier<br />
West Feliciana Cameron Caddo<br />
Jefferson Davis Claiborne Region 9 (Southeast)<br />
DeSoto Livingston<br />
Region 3 (Teche) Natchitoches St. Helena<br />
Assumption Red River St. Tammany<br />
Lafourche Sabine Tangipahoa<br />
St. Charles Webster Washington<br />
St. James<br />
St. John<br />
St. Mary<br />
Terrebonne<br />
All regional crude rates included in the Region Tables sections <strong>of</strong> this report have been calculated using 2002 population<br />
estimates provided by <strong>Louisiana</strong> Technical University (LATech).<br />
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POPULATION DATA<br />
In the State Summary sections <strong>of</strong> this report, the bridged-race post-census data for the year 2002 provided by the United States<br />
Census Bureau and National Center for Health <strong>Statistics</strong> (NCHS) were used to calculate state-level rates for demographic<br />
subgroups (race, sex, age). Population files are from the U.S. Census Bureau website (www.census.gov). Age-adjusted<br />
death rates were calculated using the 2000 standard population.<br />
In the Parish Tables and Region Tables sections <strong>of</strong> this report, crude rates for total populations at state, region, and parish<br />
levels were calculated using <strong>Louisiana</strong> Technical University (LATech) Data for 2002.<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT TECHNICAL NOTES<br />
BIRTH DATA<br />
Race<br />
Prior to 1989, the race reported in birth data tables was the inferred race <strong>of</strong> the child. Beginning in 1989, the race <strong>of</strong> the<br />
newborn is established by the race <strong>of</strong> the mother.<br />
Place <strong>of</strong> Residence<br />
Place <strong>of</strong> Residence is defined as the residence <strong>of</strong> the mother for a birth or stillbirth.<br />
Adequate Prenatal Care (modified Kessner Index definition):<br />
1. Care must begin in the first trimester<br />
2. The number <strong>of</strong> required prenatal visits varies with gestational age and is as follows:<br />
17 weeks gestation requires two or more visits<br />
18-21 weeks gestation requires three or more visits<br />
22-25 weeks gestation requires four or more visits<br />
26-29 weeks gestation requires five or more visits<br />
30-31 weeks gestation requires six or more visits<br />
32-33 weeks gestation requires seven or more visits<br />
34-35 weeks gestation requires eight or more visits<br />
36 weeks gestation requires nine or more visits<br />
Weight Equivalents<br />
Equivalents <strong>of</strong> the gram weight in terms <strong>of</strong> pounds and ounces are shown below:<br />
453.6 grams = 1 pound<br />
under 500 grams = 1 pound 1 ounce or less<br />
500 - 999 grams = 1 pound 2 ounces - 2 pounds 3 ounces<br />
1000-1499 grams = 2 pounds 4 ounces - 3 pounds 4 ounces<br />
1500-1999 grams = 3 pounds 5 ounces - 4 pounds 6 ounce<br />
2000-2499 grams = 4 pounds 7 ounces - 5 pounds 8 ounces<br />
2500-2999 grams = 5 pounds 9 ounces - 6 pounds 9 ounces<br />
3000-3499 grams = 6 pounds 10 ounces - 7 pounds 11 ounces<br />
3500-3999 grams = 7 pounds 12 ounces - 8 pounds 13 ounces<br />
4000-4499 grams = 8 pounds 14 ounces - 9 pounds 14 ounces<br />
4500-4999 grams = 9 pounds 15 ounces - 11 pounds 0 ounces<br />
5000 grams or > = 11 pounds 1 ounce or more<br />
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Gestational Age<br />
The attending physician records gestational age on the birth certificate. Physicians use several different methods to estimate<br />
gestational age, including computing the interval between the first day <strong>of</strong> the mother’s last normal menstrual period (LMP) and<br />
the date <strong>of</strong> birth, or determining a clinical estimate based on examination <strong>of</strong> the newborn. Because these methods have<br />
inherent limitations (for example, imperfect maternal recall <strong>of</strong> LMP), measurement <strong>of</strong> gestational age is imprecise. Without<br />
standardized methods <strong>of</strong> measurement, determination <strong>of</strong> gestational age will remain an issue, especially among at-risk<br />
pregnancies in which few or no prenatal ascertainments are made.<br />
<strong>Louisiana</strong> Birth Certificates record both the “Date Last Normal Menses Began” and the “Clinical Estimate <strong>of</strong> Gestation.” The<br />
“Clinical Estimate <strong>of</strong> Gestation” is used to determine gestational age in the Live Births section <strong>of</strong> this report.<br />
Birthweight<br />
For parish and region tables with information regarding the weight <strong>of</strong> the live birth, those live births less than 10 grams are<br />
reassigned to "unknown”.<br />
Number <strong>of</strong> Prenatal Visits<br />
For parish and region tables with reference to Adequate Prenatal Care, live births for which the mother had more than 50<br />
prenatal visits are reassigned to "unknown".<br />
Birth Rates for Mothers under Age 15 Years and Over Age 45 Years<br />
The following conventions are used when calculating rates for mothers younger than age 15 years or older than age 44 years:<br />
For age categories labeled “Under 15”, the numerator is all live births to mothers under 15 years <strong>of</strong> age. Mothers who are<br />
younger than 8 years <strong>of</strong> age are reassigned to "unknown". The denominator is the female population aged 10 through 14<br />
years.<br />
For age categories labeled “45 & Older”, the numerator is all live births to mothers aged 45 years and older. Mothers older<br />
than 54 years <strong>of</strong> age are reassigned to "unknown". The denominator is the female population aged 45 through 49 years.<br />
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SPONTANEOUS FETAL DEATH DATA (STILLBIRTH)<br />
Definition <strong>of</strong> a Spontaneous Fetal Death<br />
<strong>Louisiana</strong> defines a spontaneous fetal death (stillbirth) as a death to a fetus with gestational age <strong>of</strong> at least 20 weeks or<br />
birthweight <strong>of</strong> at least 350 grams. The National Center for Health <strong>Statistics</strong> (NCHS) uses only gestational age (at least 20<br />
weeks) to define a fetal death.<br />
The calculation <strong>of</strong> tables and figures for this report varies between the <strong>Louisiana</strong> and NCHS definitions, depending upon<br />
whether the data are intended for comparison to national data. The definition used is specified following each table or figure.<br />
Estimation <strong>of</strong> Gestational Age<br />
Beginning with the 1997 <strong>Louisiana</strong> <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong>, gestational ages for fetal deaths occurring in or after 1995 are<br />
reported based upon the National Center for Health <strong>Statistics</strong> formula for calculation <strong>of</strong> gestational age for fetal deaths. This<br />
formula calculates gestational age by combining information collected in the “Date Last Normal Menses Began” and “Clinical<br />
Estimate <strong>of</strong> Gestation” sections <strong>of</strong> the <strong>Louisiana</strong> Certificate <strong>of</strong> Fetal Death (Stillbirth).<br />
Gestational ages reported for years prior to 1995 were calculated by subtracting the “Date Last Normal Menses Began” from the<br />
“Date <strong>of</strong> Delivery,” as recorded on the Fetal Death Certificate.<br />
Cause <strong>of</strong> Death Coding<br />
Please refer to the DEATH DATA section <strong>of</strong> this chapter (page 160) for details concerning the International Statistical<br />
Classification <strong>of</strong> Diseases, Injuries, and Causes <strong>of</strong> Death (ICD).<br />
The complete list <strong>of</strong> 146 selected causes <strong>of</strong> fetal death that should appear in Table 3.10 follows below.<br />
Certain infectious and parasitic diseases (A00-B99)<br />
Congenital syphilis (A50)<br />
Human immunodeficiency virus (HIV) disease (B20-B24)<br />
Other viral diseases (A80-B19, B25-B34)<br />
Other and unspecified infectious and parasitic diseases (A00-A49,<br />
A51, A79, B35-B99)<br />
Malignant neoplasms (C00-C97)<br />
In situ neoplasms, benign neoplasms and neoplasms <strong>of</strong> uncertain<br />
or unknown behavior (D00-D48)<br />
Anemias (D50-D64)<br />
Endocrine, nutritional and metabolic diseases (E00-E88)<br />
Short stature, not elsewhere classified (E34.3)<br />
Cystic fibrosis (E84)<br />
Other endocrine, nutritional and metabolic diseases (E00-E32,<br />
E34.0- E34.2, E34.4-E34.9, E40-E83, E85-E88)<br />
Meningitis (G00, G03)<br />
Other diseases <strong>of</strong> nervous system and sense organs (G04-H93)<br />
Umbilical hernia (K42)<br />
Other hernia (K40-K41, K43-K46)<br />
Other and unspecified diseases <strong>of</strong> digestive system (K00-K38,<br />
K50-K92)<br />
All other diseases, excluding signs & ill-defined conditions,<br />
perinatal conditions, congenital anomalies, & symptoms (D65-<br />
89, I00-J98, L00-N98)<br />
Certain conditions originating in the perinatal period (P00-P96)<br />
Fetus affected by maternal conditions that may be unrelated to<br />
present pregnancy (P00)<br />
Fetus affected by maternal hypertensive disorders (P00.0)<br />
Fetus affected by maternal renal and urinary tract diseases (P00.1)<br />
Fetus affected by maternal infectious and parasitic diseases<br />
(P00.2)<br />
Fetus affected by other maternal circulatory and respiratory<br />
diseases (P00.3)<br />
Fetus affected by maternal nutritional disorders (P00.4)<br />
Fetus affected by maternal injury (P00.5)<br />
Fetus affected by surgical procedure on mother (P00.6)<br />
Fetus affected by other medical procedures and maternal<br />
conditions (P00.7-P00.8)<br />
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TECHNICAL NOTES <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Fetus affected by unspecified maternal condition (P00.9)<br />
Fetus affected by maternal complications <strong>of</strong> pregnancy (P01)<br />
Fetus affected by incompetent cervix (P01.0)<br />
Fetus affected by premature rupture <strong>of</strong> membranes (P01.1)<br />
Fetus affected by oligohydramnios (P01.2)<br />
Fetus affected by polyhydramnios (P01.3)<br />
Fetus affected by ectopic pregnancy (P01.4)<br />
Fetus affected by multiple pregnancies (P01.5)<br />
Fetus affected by maternal death (P01.6)<br />
Fetus affected by malpresentation before labor (P01.7)<br />
Fetus affected by other and unspecified maternal complications <strong>of</strong><br />
pregnancy (P01.8-P01.9)<br />
Fetus affected by complications <strong>of</strong> placenta, cord and membranes<br />
(P02)<br />
Fetus affected by placenta previa (P02.0)<br />
Fetus affected by other forms <strong>of</strong> placental separation and<br />
hemorrhage (P02.1)<br />
Fetus affected by other and unspecified morphological and<br />
functional abnormalities <strong>of</strong> placenta (P02.2)<br />
Fetus affected by placental transfusion syndromes (P02.3)<br />
Fetus affected by prolapsed cord (P02.4)<br />
Fetus affected by other compression <strong>of</strong> umbilical cord (P02.5)<br />
Fetus affected by other and unspecified conditions <strong>of</strong> umbilical<br />
cord (P02.6)<br />
Fetus affected by chorioamnionitis (P02.7)<br />
Fetus affected by other and unspecified abnormalities <strong>of</strong><br />
membranes (P02.8-P02.9)<br />
Fetus affected by other complications <strong>of</strong> labor and delivery (P03)<br />
Fetus affected by breech delivery and extraction (P03.0)<br />
Fetus affected by other malpresentation, malposition and<br />
disproportion during labor and delivery (P03.1)<br />
Fetus affected by forceps delivery (P03.2)<br />
Fetus affected by delivery by vacuum extractor (ventouse) (P03.3)<br />
Fetus affected by cesarean delivery (P03.4)<br />
Fetus affected by precipitate delivery (P03.5)<br />
Fetus affected by abnormal uterine contractions (P03.6)<br />
Fetus affected by other and unspecified complications <strong>of</strong> labor and<br />
delivery (P03.8-P03.9)<br />
Fetus affected by noxious influences transmitted via placenta<br />
(P04)<br />
Slow fetal growth and fetal malnutrition (P05)<br />
Disorders related to short gestation and low birth weight, not<br />
elsewhere classified (P07)<br />
Extremely low birth weight or extreme immaturity (P07.0, P07.2)<br />
Other low birth weight and preterm (P07.1, P07.3)<br />
Disorders related to long gestation and high birth weight (P08)<br />
Exceptionally large size and other heavy for gestational age fetus<br />
(P08.0-P08.1)<br />
Post-term, not heavy for gestational age fetus (P08.2)<br />
Birth trauma (P10-P15)<br />
Intracranial laceration and hemorrhage due to birth injury and other<br />
injuries to central nervous system (P10-P11)<br />
Other birth trauma (P12-P15)<br />
Intrauterine hypoxia and birth asphyxia (P20-P21)<br />
Intrauterine hypoxia first noted before onset <strong>of</strong> labor (P20.0)<br />
Intrauterine hypoxia first noted during labor and delivery (P20.1)<br />
Intrauterine hypoxia, unspecified (P20.9)<br />
Birth asphyxia (P21)<br />
Other respiratory conditions originating in the perinatal period<br />
(P23-P28)<br />
Congenital pneumonia (P23)<br />
Aspiration syndromes (P24)<br />
Interstitial emphysema and related conditions originating in the<br />
perinatal period (P25)<br />
Atelectasis (P28.0-P28.1)<br />
Other respiratory system disorders (P26-P27, P28.2-P28.9)<br />
Infections specific to the perinatal period (P35-P39)<br />
Congenital rubella syndrome (P35.0)<br />
Congenital cytomegalovirus infection (P35.1)<br />
Congenital herpes viral (herpes simplex) infection (P35.2)<br />
Congenital viral hepatitis (P35.3)<br />
Bacterial sepsis (P36)<br />
Congenital tuberculosis (P37.0)<br />
Congenital toxoplasmosis (P37.1)<br />
Other infections specific to the perinatal period (P35.8-P35.9,<br />
P37.2, P37.9, P38-P39)<br />
Fetal hemorrhage (P50-P54)<br />
Hemolytic disease <strong>of</strong> fetus (P55-P56)<br />
Rh isoimmunization <strong>of</strong> fetus (P55.0)<br />
ABO isoimmunization <strong>of</strong> fetus (P55.1)<br />
Other hemolytic disease <strong>of</strong> fetus (P55.8-P55.9)<br />
Hydrops fetalis due to hemolytic disease (P56)<br />
Perinatal jaundice (P57-P59)<br />
Hematological disorders (P60-P61)<br />
Transitory endocrine and metabolic disorders specific to fetus<br />
(P70-P74)<br />
Syndrome <strong>of</strong> infant <strong>of</strong> a diabetic mother and neonatal diabetes<br />
mellitus (P70.0-P70.2)<br />
Other transitory endocrine and metabolic disorders specific to fetus<br />
(P70.3-P70.9, P71-P74)<br />
Digestive system disorders <strong>of</strong> fetus (P76-P78)<br />
Other conditions originating in the perinatal period (P80-P96)<br />
Hydrops fetalis not due to hemolytic disease (P83.2)<br />
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Fetal death <strong>of</strong> unspecified cause (P95)<br />
Withdrawal symptoms from maternal use <strong>of</strong> drugs <strong>of</strong> addiction<br />
(P96.1)<br />
Termination <strong>of</strong> pregnancy (P96.4)<br />
Complications <strong>of</strong> intrauterine procedures, not elsewhere classified<br />
(P96.5)<br />
All other specified conditions originating in the perinatal period<br />
(P80-P81, P83.0-P83.1, P83.3-P83.9, P90-P91, P93-P94,<br />
P96.0, P96.3, P96.8)<br />
Condition originating in the perinatal period, unspecified (P96.9)<br />
Congenital malformations, deformations and chromosomal<br />
abnormalities (Q00-Q99)<br />
Congenital malformations <strong>of</strong> nervous system (Q00-Q07)<br />
Anencephaly and similar malformations (Q00)<br />
Encephalocele (Q01)<br />
Microcephaly (Q02)<br />
Congenital hydrocephalus (Q03)<br />
Reduction deformities <strong>of</strong> brain (Q04.0-Q04.3)<br />
Other congenital malformations <strong>of</strong> brain (Q04.4-Q04.9)<br />
Spina bifida (Q05)<br />
Other congenital malformations <strong>of</strong> spinal cord and nervous system<br />
(Q06, Q07)<br />
Congenital malformations <strong>of</strong> eye, ear, face and neck (Q10-Q18)<br />
Congenital malformations <strong>of</strong> heart (Q20-Q24)<br />
Other congenital malformations <strong>of</strong> circulatory system (Q25-Q28)<br />
Congenital malformations <strong>of</strong> lung (Q33)<br />
Other congenital malformations <strong>of</strong> respiratory system (Q30-Q32,<br />
Q34)<br />
Congenital malformations <strong>of</strong> digestive system (Q35-Q45)<br />
Congenital malformations <strong>of</strong> genital organs (Q50-Q56)<br />
Congenital malformations <strong>of</strong> urinary system (Q60-Q64)<br />
Renal agenesis and other reduction defects <strong>of</strong> kidney (Q60)<br />
Cystic kidney disease (Q61)<br />
Other congenital malformations <strong>of</strong> urinary system (Q62-Q64)<br />
Congenital malformations and deformations <strong>of</strong> musculoskeletal<br />
system, limbs and integument (Q65-Q85)<br />
Other congenital malformations (Q86, Q89)<br />
Conjoined twins (Q89.4)<br />
Multiple congenital malformations, not elsewhere classified (Q89.7)<br />
All other congenital malformations (Q86-Q87, Q89.0-Q89.3,<br />
Q89.8-Q89.9)<br />
Chromosomal abnormalities, not elsewhere classified (Q90-Q99)<br />
Down's syndrome (Q90)<br />
Edward's syndrome (Q91.0-Q91.3)<br />
Patau's syndrome (Q91.4-Q91.7)<br />
Other chromosomal abnormalities, not elsewhere classified (Q92-<br />
Q99)<br />
Symptoms, signs and abnormal, clinical and laboratory findings,<br />
not elsewhere classified (R83-R94)<br />
External causes <strong>of</strong> mortality (V01-Y84)<br />
Accidents (V01-X59)<br />
Assault (homicide) (X85-Y09)<br />
Complications <strong>of</strong> medical and surgical care (Y40-Y84)<br />
Other external causes (Y10-Y36)<br />
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DEATH DATA<br />
Place <strong>of</strong> Residence<br />
Place <strong>of</strong> Residence is defined as the residence <strong>of</strong> the deceased for a death and as the residence <strong>of</strong> the mother for a stillbirth.<br />
Cause <strong>of</strong> Death Coding<br />
Classification System: World Health Organization regulations specify that member nations classify cause <strong>of</strong> death in accordance<br />
with the current revision <strong>of</strong> the International Statistical Classification <strong>of</strong> Diseases, Injuries, and Causes <strong>of</strong> Death (ICD). The ICD<br />
has been revised approximately every ten years since 1900. The current revision, ICD-10, was implemented beginning with<br />
deaths occurring on January 1, 1999. For more information on the tenth revision, please visit the Centers for Disease Control<br />
and Prevention website at: http://www.cdc.gov/nchs/about/major/dvs/icd10des.htm.<br />
Underlying Causes: Prior to 1949, under the first five revisions <strong>of</strong> the International Classification, causes <strong>of</strong> death were coded<br />
based on priority tables for multiple causes as set forth in The Manual for Joint Causes <strong>of</strong> Death. Under the sixth through the<br />
tenth revisions, the cause <strong>of</strong> death coded for tabulating death data is the "underlying cause" as determined from information<br />
provided on the death certificate by the attending physician or coroner. Currently, when more than one cause <strong>of</strong> death exists,<br />
the causes are ordered according to the Automated Classification <strong>of</strong> Medical Entities (ACME) system. ACME is a computerized<br />
program that evaluates both the ICD-10 code characteristics and the components <strong>of</strong> the death history recorded on the certificate<br />
to determine the primary, or “underlying,” cause <strong>of</strong> death. The "underlying cause" may be defined as (a) the disease <strong>of</strong> injury<br />
that initiated the train <strong>of</strong> morbid events leading directly to death or (b) the circumstances, accident, or violence that produced the<br />
fatal injury.<br />
Comparability <strong>of</strong> <strong>Statistics</strong> from ICD-9 to ICD-10: The decennial revisions <strong>of</strong> the International Classification <strong>of</strong> Diseases (ICD)<br />
have led to repeated breaks in the comparability <strong>of</strong> cause-<strong>of</strong>-death data. The introduction <strong>of</strong> the present concepts <strong>of</strong><br />
classification in the sixth revision seriously affected the interpretation <strong>of</strong> mortality trends before and after 1949. Comparability<br />
ratios were subsequently computed by the United States to assist in the analysis <strong>of</strong> mortality trends by providing a measure <strong>of</strong><br />
the degree <strong>of</strong> discontinuity. Following the recommendations <strong>of</strong> the International Conference for the Sixth Revision <strong>of</strong> the ICD,<br />
the United States used a dual coding method for constructing these comparability ratios after the introduction <strong>of</strong> each <strong>of</strong> the last<br />
five revisions, including the current ICD-10.<br />
For a more detailed description <strong>of</strong> the role played by comparability ratios in interpreting the differences between ICD-9 and ICD-<br />
10, please see Comparability <strong>of</strong> Cause <strong>of</strong> Death Between ICD-9 and ICD-10: Preliminary Estimates, Vol. 49 No. 2 [DHHS<br />
Publication No. (PHS) 2001-1120 1-0355 (5/2001)], National <strong>Vital</strong> <strong>Statistics</strong> <strong>Report</strong>s, National Center for Health <strong>Statistics</strong>,<br />
Centers for Disease Control and Prevention, May 18, 2001. This publication can be downloaded from the National Center for<br />
Health <strong>Statistics</strong> website at: http://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_02.pdf.<br />
Cause <strong>of</strong> Death Ranking: Beginning with ICD-10 in 1999, cause <strong>of</strong> death rankings are based on the "List <strong>of</strong> 113 Selected<br />
Causes <strong>of</strong> Death" developed by the National Center for Health <strong>Statistics</strong>. This list was adapted from a basic list recommended<br />
by the World Health Organization for use with the Tenth Revision <strong>of</strong> the ICD. The categories "Major Cardiovascular Diseases"<br />
and “Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified" are not ranked. In addition,<br />
categories that begin with the words "Other" or “All Other" are not ranked. To determine the leading causes <strong>of</strong> death, the<br />
remaining categories are ranked according to the number <strong>of</strong> deaths that occur in the calendar year. When a category that<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT TECHNICAL NOTES<br />
represents a subtotal is ranked (e.g., "Tuberculosis"), its component parts (in this example, "Respiratory tuberculosis" and<br />
"Other tuberculosis") are not ranked.<br />
Codes Used for Cause <strong>of</strong> Death Ranking: The groupings <strong>of</strong> ICD-10 codes used to rank causes <strong>of</strong> death in this report are those<br />
used by the National Center for Health <strong>Statistics</strong>. The complete list <strong>of</strong> 113 selected causes is listed below:<br />
Salmonella infections (A01, A02)<br />
Shigellosis and amebiasis (A03, A06)<br />
Certain other intestinal infections (A04, A07-A09)<br />
Tuberculosis (A16-A19)<br />
Respiratory tuberculosis (A16)<br />
Other tuberculosis (A17-A19)<br />
Whooping cough (A37)<br />
Scarlet fever and erysipelas (A38, A46)<br />
Meningococcal infection (A39)<br />
Septicemia (A40-A41)<br />
Syphilis (A50-A53)<br />
Acute poliomyelitis (A80)<br />
Arthropod-borne viral encephalitis (A83-A84, A85.2)<br />
Measles (B05)<br />
Viral Hepatitis (B15-B19)<br />
Human Immunodeficiency Virus (HIV) disease (B20-B24)<br />
Malaria (B50-B54)<br />
Other and unspecified infectious and parasitic diseases and their<br />
Sequelae (Other in A00-B99)<br />
Malignant neoplasms (C00-C97)<br />
Malignant neoplasms <strong>of</strong> lip, oral cavity and pharynx (C00-C14)<br />
Malignant neoplasm <strong>of</strong> esophagus (C15)<br />
Malignant neoplasms <strong>of</strong> stomach (C16)<br />
Malignant neoplasm <strong>of</strong> colon, rectum and anus (C18-C21)<br />
Malignant neoplasms <strong>of</strong> liver and Intrahepatic bile ducts (C22)<br />
Malignant neoplasm <strong>of</strong> pancreas (C25)<br />
Malignant neoplasm <strong>of</strong> larynx (C32)<br />
Malignant neoplasms <strong>of</strong> trachea, Bronchus and lung (C33-C34)<br />
Malignant melanoma <strong>of</strong> skin (C43)<br />
Malignant neoplasm <strong>of</strong> breast (C50)<br />
Malignant neoplasm <strong>of</strong> cervix uteri (C53)<br />
Malignant neoplasms <strong>of</strong> corpus uteri and uterus, part unspecified<br />
(C54-C55)<br />
Malignant neoplasm <strong>of</strong> ovary (C56)<br />
Malignant neoplasm <strong>of</strong> prostate (C61)<br />
Malignant neoplasm <strong>of</strong> kidney and renal pelvis (C64-C65)<br />
Malignant neoplasm <strong>of</strong> bladder (C67)<br />
Malignant neoplasms <strong>of</strong> meninges, brain and other parts <strong>of</strong> central<br />
nervous system (C70-C72)<br />
Malignant <strong>of</strong> lymphoid, Hematopoietic and related tissue (C81-<br />
C96)<br />
Hodgkin’s disease (C81)<br />
Non-Hodgkin’s lymphoma (C82-C85)<br />
Leukemia (C91-C95)<br />
Multiple myeloma and immuno-proliferative neoplasms (C88, C90)<br />
Other and unspecified malignant neoplasms <strong>of</strong> lymphoid,<br />
hematopoietic and related tissue (C96)<br />
All other and unspecified malignant neoplasms (Other in C00-C97)<br />
In situ neoplasms, benign neoplasms and neoplasms <strong>of</strong> uncertain<br />
or unknown behavior (D00-D48)<br />
Anemias (D50-D6)<br />
Diabetes mellitus (E10-E14)<br />
Nutritional deficiencies (E40-E64)<br />
Malnutrition (E40-E46)<br />
Other nutritional deficiencies (E50-E64)<br />
Meningitis (G00, G03)<br />
Parkinson’s disease (G20-G21)<br />
Alzheimer’s disease (G30)<br />
Major cardiovascular disease (I00-I78)<br />
Diseases <strong>of</strong> heart (I00-I09, I11, I13, I20, I51)<br />
Acute rheumatic fever and chronic rheumatic heart diseases (I00-<br />
I09)<br />
Hypertensive heart disease (I11)<br />
Hypertensive heart and renal disease (I13)<br />
Ischemic heart diseases (I20-I25)<br />
Acute myocardial infarction (I21-I22)<br />
Other acute ischemic heart diseases (I24)<br />
Other forms <strong>of</strong> chronic ischemic heart diseases (I20, I25)<br />
Atherosclerotic cardiovascular disease, so described (I25.0)<br />
All other forms <strong>of</strong> chronic ischemic heart disease (I20, I25.1- I25.9)<br />
Other heart diseases (I26-I51)<br />
Acute and subacute endocarditis (I33)<br />
Diseases <strong>of</strong> pericardium and acute myocarditis (I30-I31, I40)<br />
Heart failure (I50)<br />
All other forms <strong>of</strong> heart disease (I26-I28, I34-I38, I42-I49, I51)<br />
Essential (primary) hypertension and hypertensive renal disease<br />
(I10, I12)<br />
Cerebrovascular diseases (I60-I69)<br />
Atherosclerosis (I70)<br />
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TECHNICAL NOTES <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Other diseases <strong>of</strong> the circulatory system (I71-I78)<br />
Aortic aneurysm and dissection (I71)<br />
Other diseases <strong>of</strong> arteries, arterioles and capillaries (I72-I78)<br />
Other disorders <strong>of</strong> the circulatory system (I80-I99)<br />
Influenza and pneumonia (J10-J18)<br />
Influenza (J10-J11)<br />
Pneumonia (J12-J18)<br />
Other acute lower respiratory infections (J20-J22)<br />
Acute bronchitis and bronchiolotis (J20-J21)<br />
Unspecified acute lower respiratory infection (J22)<br />
Chronic lower respiratory diseases (J40- J47)<br />
Bronchitis, chronic and unspecified (J40-J42)<br />
Emphysema (J43)<br />
Asthma (J45- J46)<br />
Other chronic lower respiratory diseases (J44, J47)<br />
Pneumoconioses and chemical effects (J60- J66, J68)<br />
Pneumonitis due to solids and liquids (J69)<br />
Other diseases <strong>of</strong> respiratory system (J00- J06, J30- J39, J67,<br />
J70- J98)<br />
Peptic ulcer (K25-K28)<br />
Diseases <strong>of</strong> appendix (K35- K38)<br />
Hernia (K40-K46)<br />
Chronic liver disease and cirrhosis (K70, K73-K74)<br />
Alcoholic liver disease (K70)<br />
Other chronic liver disease and cirrhosis (K73-K74)<br />
Cholelithiasis and other disorders <strong>of</strong> gallbladder (K80-K82)<br />
Nephritis, nephrotic syndrome and nephrosis (N00- N07, N17-N19,<br />
N25, N27)<br />
Acute and rapidly progressive nephritic and nephrotic syndrome<br />
(N00- N01, N04)<br />
Chronic glomerulonephritis, nephritis & nephritis unspecified, &<br />
renal sclerosis unspecified (N02-N03, N05- N07, and N26)<br />
Renal failure (N17-N19)<br />
Other disorders <strong>of</strong> kidney (N25, N27)<br />
Infections <strong>of</strong> kidney (N10- N12, N13.6, N15.1)<br />
Hyperplasia <strong>of</strong> prostate (N40)<br />
Inflammatory diseases <strong>of</strong> female pelvic organs (N70- N76)<br />
Pregnancy, childbirth and the puerperium (O00-O99)<br />
Pregnancy with abortive outcome (O00- O07)<br />
Other complications <strong>of</strong> pregnancy, Childbirth and the puerperium<br />
(O10-O99)<br />
Certain conditions originating in the perinatal period (P00- P96)<br />
Congenital malformations, deformations and chromosomal<br />
abnormalities (Q00-Q99)<br />
Symptoms, signs and abnormal clinical and laboratory findings, not<br />
elsewhere classified (R00- R99)<br />
All other diseases (Residual) (Other in D65- N98)<br />
Accidents (V01-X59, Y85-Y86)<br />
Transport accidents (V01- V99, Y85)<br />
Motor vehicle accidents (V02- V04, V09.0, V09. 2, V12-V14,<br />
V19.0, V19.2, V19.4- V19.6, V20- V79, V80.3- V80.5, V81.0-<br />
V81.1, V82.0- V82.1, V83-V86, V87.0- V87.8, V88.0- V88.8,<br />
V89.0, V89.2)<br />
Other land transport accidents (V01, V05- V06, V09.1, V09.3,<br />
V09.9, V10- V11, V15- V18, V19.3, V19.8 ,V19.9,V80.0- V80.2,<br />
V80.6- V80.9, V81.2- V81.9, V82.2-V82.9, V87.9,<br />
V88.9,V89.1,V8-9.3,V89.9)<br />
Water, air and space, and other and unspecified transport<br />
accidents and their sequelae (V90-V99, Y85)<br />
Nontransport accidents (W00- X59, Y86)<br />
Falls (W00-W19)<br />
Accidental discharge <strong>of</strong> Firearms (W32- W34)<br />
Accidental drowning and Submersion (W65- W74)<br />
Accidental exposure to smoke, fire and flames (X00- X09)<br />
Accidental poisoning and exposure to noxious substances (X40-<br />
X49)<br />
Other and unspecified nontransport accidents and their sequelae<br />
(W20-W31,W35- W64,W75-W99, X10 X39,X50- X59,Y86)<br />
Intentional self-harm (suicide) (X60- X84, Y87.0)<br />
Intentional self-harm (suicide) by discharge <strong>of</strong> firearms (X72- X74)<br />
Intentional self-harm (suicide) by other and unspecified means and<br />
their sequelae (X60- X71, X75- X84, Y87.0)<br />
Assault (homicide) (X85, Y09, Y87.1)<br />
Assault (homicide) by discharge <strong>of</strong> firearms (X93- X95)<br />
Assault (homicide) by other and unspecified means and their<br />
sequelae (X85- X92, X96- Y09, Y87.1)<br />
Legal intervention (Y35, Y89.0)<br />
Events <strong>of</strong> undetermined intent (Y10-Y34, Y87.2, Y89.0- 9)<br />
Discharge <strong>of</strong> firearms, undetermined intent (Y22- Y24)<br />
Other and unspecified events <strong>of</strong> undetermined intent and their<br />
sequelae (Y10-Y21, Y25- Y34, Y87.2, Y89. 9)<br />
Operations <strong>of</strong> war and their sequelae (Y36, Y89.1)<br />
Complications <strong>of</strong> medical and surgical care (Y40-Y84, Y88)<br />
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Codes Used for Cause <strong>of</strong> Infant Death: The complete list <strong>of</strong> 130 selected causes used by National Center for Health <strong>Statistics</strong> is<br />
shown below:<br />
Certain infectious and parasitic diseases (A00-B99)<br />
Certain intestinal infectious diseases (A00-A08)<br />
Diarrhea and gastroenteritis <strong>of</strong> presumed infectious origin (A09)<br />
Tuberculosis (A16-A19)<br />
Tetanus (A33, A35)<br />
Diphtheria (A36)<br />
Whooping cough (A37)<br />
Meningococcal infection (A39)<br />
Septicemia (A40-A41)<br />
Congenital syphilis (A50)<br />
Gonococcal infection (A54)<br />
Viral diseases (A80-B34)<br />
Acute poliomyelitis (A80)<br />
Varicella (chickenpox) (B01)<br />
Measles (B05)<br />
Human immunodeficiency virus<br />
(HIV) disease (B20-B24)<br />
Mumps (B26)<br />
Other and unspecified viral diseases (A81-B00, B02-B04, B06-<br />
B19, B25, B27-B34)<br />
Candidiasis (B37)<br />
Malaria (B50-B54)<br />
Pneumocystosis (B59)<br />
Other and unspecified infectious and parasitic diseases and their<br />
sequelae (A20-A32, A38, A42- A49, A51-A53, A55-A79, B35-<br />
36, B38-B49, B55-B58, B60-B99)<br />
Neoplasms (C00-D48)<br />
Malignant neoplasms (C00-C97)<br />
Hodgkin's disease and non-Hodgkin's lymphomas (C81-C85)<br />
Leukemia (C91-C95)<br />
Other and unspecified malignant neoplasms (C00-C80, C88, C90,<br />
C96-C97)<br />
In situ neoplasms, benign neoplasms and neoplasms <strong>of</strong> uncertain<br />
or unknown behavior (D00-D48)<br />
Diseases <strong>of</strong> the blood and blood-forming organs and certain<br />
disorders involving the immune mechanism (D50-D89)<br />
Anemias (D50-D64)<br />
Hemorrhagic conditions and other diseases <strong>of</strong> blood and bloodforming<br />
organs (D65-D76)<br />
Certain disorders involving the immune mechanism (D80-D89)<br />
Endocrine, nutritional and metabolic diseases (E00-E88)<br />
Short stature, not elsewhere classified (E34.3)<br />
Nutritional deficiencies (E40-E64)<br />
Cystic fibrosis (E84)<br />
Volume depletion, disorders <strong>of</strong> fluid, electrolyte and acid-base<br />
balance (E86-E87)<br />
All other endocrine, nutritional and metabolic diseases (E00-E32,<br />
E34.0-E34.2, E34.4-E34.9, E65-E83, E85, E88)<br />
Diseases <strong>of</strong> the nervous system (G00-G98)<br />
Meningitis (G00, G03)<br />
Infantile spinal muscular atrophy, type I (Werdnig-H<strong>of</strong>fman)<br />
(G12.0)<br />
Infantile cerebral palsy (G80)<br />
Anoxic brain damage, not elsewhere classified (G93.1)<br />
Other diseases <strong>of</strong> nervous system (G04, G06-G11, G12.1-G12.9,<br />
G20-G72, G81-G92, G93.0, G93.2-G93.9, G95-G98)<br />
Diseases <strong>of</strong> the ear and mastoid process (H60-H93)<br />
Diseases <strong>of</strong> the circulatory system (I00-I99)<br />
Pulmonary heart disease and diseases <strong>of</strong> pulmonary circulation<br />
(I26-I28)<br />
Pericarditis, endocarditis and myocarditis (I30, I33, I40)<br />
Cardiomyopathy (I42)<br />
Cardiac arrest (I46)<br />
Cerebrovascular diseases (I60-I69)<br />
All other diseases <strong>of</strong> circulatory system (I00-I25, I31, I34-I38, I44-<br />
I45, I47-I51, I70-I99)<br />
Diseases <strong>of</strong> the respiratory system (J00-J98)<br />
Acute upper respiratory infections (J00-J06)<br />
Influenza and pneumonia (J10-J18)<br />
Influenza (J10-J11)<br />
Pneumonia (J12-J18)<br />
Acute bronchitis and acute bronchiolitis (J20-J21)<br />
Bronchitis, chronic and unspecified (J40-J42)<br />
Asthma (J45-J46)<br />
Pneumonitis due to solids and liquids (J69)<br />
Other and unspecified diseases <strong>of</strong> respiratory system (J22, J30-<br />
J39, J43-J44, J47-J68, J70-J98)<br />
Diseases <strong>of</strong> the digestive system (K00-K92)<br />
Gastritis, duodenitis, and noninfective enteritis and colitis (K29,<br />
K50-K55)<br />
Hernia <strong>of</strong> abdominal cavity and intestinal obstruction without hernia<br />
(K40-K46, K56)<br />
All other and unspecified diseases <strong>of</strong> digestive system (K00-K28,<br />
K30-K38, K57-K92)<br />
Diseases <strong>of</strong> the genitourinary system (N00-N98)<br />
Renal failure and other disorders <strong>of</strong> kidney (N17-N19, N25, N27)<br />
Other and unspecified diseases <strong>of</strong> genitourinary system (N00-N15,<br />
N20-N23, N26, N28-N98)<br />
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TECHNICAL NOTES <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
Certain conditions originating in the perinatal period (P00-P96)<br />
Newborn affected by maternal factors and by complications <strong>of</strong><br />
pregnancy, labor and delivery (P00-P04)<br />
Newborn affected by maternal hypertensive disorders (P00.0)<br />
Newborn affected by other maternal conditions which may be<br />
unrelated to present pregnancy (P00.1-P00.9)<br />
Newborn affected by maternal complications <strong>of</strong> pregnancy (P01)<br />
Newborn affected by incompetent cervix (P01.0)<br />
Newborn affected by premature rupture <strong>of</strong> membranes (P01.1)<br />
Newborn affected by multiple pregnancy (P01.5)<br />
Newborn affected by other maternal complications <strong>of</strong> pregnancy<br />
(P01.2-P01.4, P01.6-P01.9)<br />
Newborn affected by complications <strong>of</strong> placenta, cord and<br />
membranes (P02)<br />
Newborn affected by complications involving placenta (P02.0-<br />
P02.3)<br />
Newborn affected by complications involving cord (P02.4-P02.6)<br />
Newborn affected by chorioamnionitis (P02.7)<br />
Newborn affected by other and unspecified abnormalities <strong>of</strong><br />
membranes (P02.8-P02.9)<br />
Newborn affected by other complications <strong>of</strong> labor and delivery<br />
(P03)<br />
Newborn affected by noxious influences transmitted via placenta or<br />
breast milk (P04)<br />
Disorders related to length <strong>of</strong> gestation and fetal malnutrition (P05-<br />
P08)<br />
Slow fetal growth and fetal malnutrition (P05)<br />
Disorders related to short gestation and low birth weight, not<br />
elsewhere classified (P07)<br />
Extremely low birth weight or extreme immaturity (P07.0, P07.2)<br />
Other low birth weight or preterm (P07.1, P07.3)<br />
Disorders related to long gestation and high birth weight (P08)<br />
Birth trauma (P10-P15)<br />
Intrauterine hypoxia and birth asphyxia (P20-P21)<br />
Intrauterine hypoxia (P20)<br />
Birth asphyxia (P21)<br />
Respiratory distress <strong>of</strong> newborn (P22)<br />
Other respiratory conditions originating in the perinatal period<br />
(P23-P28)<br />
Congenital pneumonia (P23)<br />
Neonatal aspiration syndromes (P24)<br />
Interstitial emphysema and related conditions originating in the<br />
perinatal period (P25)<br />
Pulmonary hemorrhage originating in the perinatal period (P26)<br />
Chronic respiratory disease originating in the perinatal period (P27)<br />
Atelectasis (P28.0-P28.1)<br />
All other respiratory conditions originating in the perinatal period<br />
(P28.2-P28.9)<br />
Infections specific to the perinatal period (P35-P39)<br />
Bacterial sepsis <strong>of</strong> newborn (P36)<br />
Omphalitis <strong>of</strong> newborn with or without mild hemorrhage (P38)<br />
All other infections specific to the perinatal period (P35, P37, P39)<br />
Hemorrhagic and hematological disorders <strong>of</strong> newborn (P50-P61)<br />
Neonatal hemorrhage (P50-P52, P54)<br />
Hemorrhagic disease <strong>of</strong> newborn (P53)<br />
Hemolytic disease <strong>of</strong> newborn due to isoimmunization and other<br />
perinatal jaundice (P55-P59)<br />
Hematological disorders (P60-P61)<br />
Syndrome <strong>of</strong> infant <strong>of</strong> a diabetic mother and neonatal diabetes<br />
mellitus (P70.0-P70.2)<br />
Necrotizing enterocolitis <strong>of</strong> newborn (P77)<br />
Hydrops fetalis not due to hemolytic disease (P83.2)<br />
Other perinatal conditions (P29, P70.3-P70.9, P71-P76, P78- P81,<br />
P83.0-P83.1, P83.3-P83.9, P90- P96)<br />
Congenital malformations, deformations and chromosomal<br />
abnormalities (Q00-Q99)<br />
Anencephaly and similar malformations (Q00)<br />
Congenital hydrocephalus (Q03)<br />
Spina bifida (Q05)<br />
Other congenital malformations <strong>of</strong> nervous system (Q01-Q02,<br />
Q04, Q06-Q07)<br />
Congenital malformations <strong>of</strong> heart (Q20-Q24)<br />
Other congenital malformations <strong>of</strong> circulatory system (Q25-Q28)<br />
Congenital malformations <strong>of</strong> respiratory system (Q30-Q34)<br />
Congenital malformations <strong>of</strong> digestive system (Q35-Q45)<br />
Congenital malformations <strong>of</strong> genitourinary system (Q50-Q64)<br />
Congenital malformations and deformations <strong>of</strong> musculoskeletal<br />
system, limbs and integument (Q65-Q85)<br />
Down's syndrome (Q90)<br />
Edward's syndrome (Q91.0-Q91.3)<br />
Patau's syndrome (Q91.4-Q91.7)<br />
Other congenital malformations and deformations (Q10-Q18, Q86-<br />
Q89)<br />
Other chromosomal abnormalities, not elsewhere classified (Q92-<br />
Q99)<br />
Symptoms, signs and abnormal clinical and laboratory findings, not<br />
elsewhere classified (R00-R99)<br />
Sudden infant death syndrome (R95)<br />
Other symptoms, signs and abnormal clinical and laboratory<br />
findings, not elsewhere classified (R00-R53, R55-R94, and<br />
R96-R99)<br />
All other diseases (Residual) (F01-F99, H00-H57, L00-M99)<br />
External causes <strong>of</strong> mortality (V01-Y89)<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT TECHNICAL NOTES<br />
Accidents (V01-X59, Y85-Y86)<br />
Transport accidents (V01-V99, Y85)<br />
Motor vehicle accidents (V02- V04,V09.0,V09.2,V12-V14,V19.0-<br />
V19.2,V19.4-V19.6,V20-V79, V80.3-V80.5,V81.0-V81.1,V82.0-<br />
V82.1,V83-V86,V87.0-V87.8,V88.0-V88.8,V89.0,V89.2)<br />
Other and unspecified transport accidents & their sequelae<br />
(V01,V05-V06,V09.1,V09.3-V09.9,V10-V11,V15-<br />
18,V19.3,V19.8-V19.9,V80.0-V80.2,V80.6-V80.9,V81.2-<br />
V81.9,V82.2-V82.9,V87.9,V88.9,V89.1,V89.3,V89.9,V90-<br />
V99,Y85)<br />
Falls (W00-W19)<br />
Accidental discharge <strong>of</strong> firearms (W32-W34)<br />
Accidental drowning and submersion (W65-W74)<br />
Accidental suffocation and strangulation in bed (W75)<br />
Other accidental suffocation and strangulation (W76-W77, W81-<br />
W84)<br />
Accidental inhalation and ingestion <strong>of</strong> food or other objects causing<br />
obstruction <strong>of</strong> respiratory tract (W78-W80)<br />
Accidents caused by exposure to smoke, fire and flames (X00-<br />
X09)<br />
Accidental poisoning and exposure to noxious substances (X40-<br />
X49)<br />
Other and unspecified accidents and their sequelae (W20-W31,<br />
W35-W64, W85-W99, X10-X39, X50-X59, Y86)<br />
Assault (homicide) (X85-Y09, Y87.1)<br />
Assault (homicide) by hanging, strangulation and suffocation (X91)<br />
Assault (homicide) by discharge <strong>of</strong> firearms (X93-X95)<br />
Neglect, abandonment and other maltreatment syndromes (Y06-<br />
Y07)<br />
Assault (homicide) by other and unspecified means and their<br />
sequelae (X85-X90,X92,X96-X99,Y00-Y05,Y08-Y09,Y87.1)<br />
Complications <strong>of</strong> medical and surgical care (Y40-Y84, Y88)<br />
Other external causes and their sequelae (X60-X84, Y10-Y36,<br />
Y87.0, Y87.2, Y89)<br />
Codes Used for Cause <strong>of</strong> Maternal Death: The complete list <strong>of</strong> selected causes used by National Center for Health <strong>Statistics</strong> is<br />
shown below:<br />
TOTAL<br />
Complications predominantly related to the puerperium (A34, O85-<br />
(O00-O95, O98-O99, A34)<br />
092)<br />
Pregnancy with abortive outcome (O00-O07)<br />
Obstetrical tetanus (A34)<br />
Ectopic pregnancy (O00)<br />
Obstetric embolism (O88)<br />
Spontaneous abortion (O03)<br />
Other complications predominately related to the Puerperium<br />
Medical abortion (O04)<br />
(O85-O87, O89-O92)<br />
Other abortion (O05)<br />
All other direct obstetric causes (O10, O12, O21-O43, O47-O66,<br />
Other and unspecified pregnancy with abortive outcome (O01-<br />
O68-O71, O73-O75)<br />
O02, O06-O07)<br />
Obstetric death <strong>of</strong> unspecified cause (O95)<br />
Other direct obstetric deaths (A34, O10-O92)<br />
Eclampsia and pre-eclampsia (O11, O13-O16)<br />
Hemorrhage <strong>of</strong> pregnancy and childbirth and placenta previa (O20,<br />
O44, O45, O46, O67, and O72)<br />
Indirect obstetric deaths (O98-O99)<br />
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TECHNICAL NOTES <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
DEFINITIONS<br />
The following is a glossary <strong>of</strong> technical terms used in this report:<br />
AGE-ADJUSTED DEATH RATE: a rate calculated to adjust for differences in the age structure in separate populations. The<br />
changes in the age-structure in a population can increase or decrease the likelihood <strong>of</strong> death in that population. When<br />
comparing mortality data from different populations, rates adjusted for differences in age distribution are used because age is<br />
the most significant characteristic related to disease and death. Age-adjusted death rates are artificial numbers, designed to be<br />
used only for comparisons <strong>of</strong> different populations. Unlike crude death rates, age-adjusted rates do not measure true rates <strong>of</strong><br />
death in a population. They should not be compared directly to crude death rates.<br />
AGE-SPECIFIC BIRTH RATE: a measure <strong>of</strong> the number <strong>of</strong> live births in a specific age group during a given period. Agespecific<br />
rates are calculated by dividing the number <strong>of</strong> live births occurring in a specified age group during one year by the<br />
estimated population <strong>of</strong> that age group, then multiplying the quotient by 1,000. The rate is expressed as the number <strong>of</strong> live<br />
births per 1,000 population. Age-specific rates make valid comparisons among age groups possible because age-specific rates<br />
limit their scope to narrow age ranges, thereby greatly reducing the effect that age might have on comparison <strong>of</strong> births across<br />
age groups.<br />
APGAR SCORE: a composite measure <strong>of</strong> the physical health <strong>of</strong> an infant, assessed at one and five minutes after birth, and<br />
used to predict the infant’s chances <strong>of</strong> survival. Five easily identifiable characteristics - heart rate, respiratory effort, muscle<br />
tone, reflex irritability, and color - are each assessed on a scale <strong>of</strong> zero to two, with two being optimal. The Apgar score is the<br />
sum <strong>of</strong> these scores; a score <strong>of</strong> seven or higher (to a maximum <strong>of</strong> ten) indicates that the infant is in good physical condition.<br />
BIRTH RATE (CRUDE BIRTH RATE): a measure <strong>of</strong> the number <strong>of</strong> live births in a population during a given period. Birth rates<br />
are calculated by dividing the number <strong>of</strong> live births occurring in a given population during one year by the estimated population,<br />
then multiplying the quotient by 1,000. Rates are expressed as the number <strong>of</strong> live births per 1,000 population. Birth rates are<br />
affected by the number and age distribution <strong>of</strong> women <strong>of</strong> childbearing age. Because crude birth rates relate the number <strong>of</strong> live<br />
births to the total population in an area, without regard to the age or sex distribution <strong>of</strong> the population, they are useful in<br />
projecting population changes in the area.<br />
CESAREAN SECTION: the surgical delivery <strong>of</strong> the newborn while the mother is under general anesthesia. A primary C-section<br />
refers to the first delivery by C-section. Cesarean section is usually the result <strong>of</strong> an abnormal delivery situation, once the mother<br />
has already gone into labor. The physician may choose to perform a C-section because the infant is presenting in an abnormal<br />
and potentially harmful position, as in breech birth position. Medical emergencies can also require a C-section delivery. Such<br />
emergencies include fetal distress and hemorrhaging due to ruptured placenta. A repeat C-section is a Cesarean delivery in<br />
which a woman has previously delivered by a C-section. A vaginal birth after C-section is a vaginal delivery to a woman who<br />
has previously delivered by C-section.<br />
COMPARABILITY RATIO: Measure <strong>of</strong> the degree <strong>of</strong> discontinuity between revisions <strong>of</strong> the International Classification <strong>of</strong><br />
Diseases (ICD) for a particular cause <strong>of</strong> death. Please see the Death Data section <strong>of</strong> these Technical Notes, on page 160.<br />
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CONGENITAL MALFORMATION: a birth defect including a wide range <strong>of</strong> major and minor abnormalities that are noted at the<br />
time <strong>of</strong> birth. They can be the result <strong>of</strong> a wide range <strong>of</strong> factors including genetic disease, teratogens (drugs or other substances<br />
that cause fetal malformation), environmental factors, heredity, and nutrition. However, the causes <strong>of</strong> many birth defects are<br />
unknown.<br />
COVENANT MARRIAGE: a marriage in which the couple agrees to complete premarital counseling from a clergyman <strong>of</strong> a<br />
religious sect or from a marriage counselor. The couple signs a notarized affidavit to the effect that the counselor has discussed<br />
with them the commitment to the marriage for life, the obligation to seek marital counseling if problems arise in the marriage,<br />
and the exclusive grounds for legal separation or divorce. These grounds include: adultery by the other spouse; commission <strong>of</strong><br />
a felony by the other spouse and sentence <strong>of</strong> imprisonment at hard labor or death; abandonment by the other spouse for one<br />
year; physical or sexual abuse <strong>of</strong> a spouse or <strong>of</strong> a child <strong>of</strong> either spouse; living separately for two years; habitual intemperance;<br />
and cruel or severe ill treatment by the other spouse. The waiting period for divorce after legal separation is one year and six<br />
months if there is a minor in the family, and one year in all other cases.<br />
DEATH RATE (CRUDE DEATH RATE): a measure <strong>of</strong> the number <strong>of</strong> deaths in a population during a given period. Death rates<br />
are calculated by dividing the number <strong>of</strong> deaths occurring in a given population during one year by the estimated population,<br />
then multiplying the quotient by 100,000. The rate is expressed as the number <strong>of</strong> deaths per 100,000 population. Crude death<br />
rates are useful for examining actual mortality in a geographic area or population because they describe the rate at which<br />
deaths occur in the total population, without regard to sub-population differences in factors (such as age) that influence death.<br />
Caution must be used when comparing crude rates from different populations, because crude rates can be affected by<br />
differences in the composition <strong>of</strong> the two populations. For example, areas that attract retirees usually have higher crude death<br />
rates than areas with large numbers <strong>of</strong> young families. See AGE-ADJUSTED DEATH RATE.<br />
DIVORCE RATE: a measure <strong>of</strong> divorces occurring in a population during a given period. Divorce rates are calculated by<br />
dividing the number <strong>of</strong> divorces occurring in a given population during one year by the estimated population, then multiplying the<br />
quotient by 1,000. The rate is expressed as the number <strong>of</strong> divorces per 1,000 population.<br />
EARLY ABORTION: an abortion that is performed at or before 8 weeks gestation.<br />
FERTILITY RATE: a rate that relates the total number <strong>of</strong> births (to women <strong>of</strong> all ages) in a population to the number <strong>of</strong> women<br />
most likely to bear children – those aged 15 through 44 years. The fertility rate is calculated by dividing the total number <strong>of</strong> live<br />
births occurring in a given population during one year by the estimated population <strong>of</strong> women aged 15 through 44 years, then<br />
multiplying the quotient by 1,000. The rate is expressed as the number <strong>of</strong> live births per 1,000 women aged 15 through 44<br />
years. Fertility rates are useful for comparisons <strong>of</strong> fertility among age, race, and socioeconomic groups.<br />
FETAL DEATH: death prior to the complete expulsion or extraction from its mother <strong>of</strong> a product <strong>of</strong> human conception that, after<br />
such expulsion or extraction, never breathes or shows any other evidence <strong>of</strong> life. (The term "fetal death" was defined on an allinclusive<br />
basis to end confusion arising from use <strong>of</strong> such terms as stillbirth, abortion, and miscarriage.)<br />
FETAL MORTALITY RATE: a measure <strong>of</strong> fetal deaths occurring in a population during a given period. Fetal mortality rates are<br />
calculated by dividing the number <strong>of</strong> fetal deaths in a given population during a given time period by the number <strong>of</strong> live births<br />
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TECHNICAL NOTES <strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT<br />
plus fetal deaths occurring in the population during the same time period, then multiplying the quotient by 1,000. Fetal mortality<br />
rates are expressed as the number <strong>of</strong> fetal deaths per 1,000 live births plus fetal deaths.<br />
FIRST BIRTH RATE: a measure <strong>of</strong> the number <strong>of</strong> first births, to mothers in a particular age group, during a given period. First<br />
birth rates are calculated by dividing the number <strong>of</strong> first births to mothers in a particular age group during one year by the total<br />
female population in that age group, then multiplying the quotient by 1,000. The rates are expressed as the number <strong>of</strong> births per<br />
1,000 women in that age group. First birth rates are helpful in assessing changes over time in the age at which women begin<br />
bearing children.<br />
GESTATIONAL AGE (Live Birth data): the interval between the first day <strong>of</strong> the mother’s last normal menstrual period and the<br />
date <strong>of</strong> birth. Physicians use several different methods to estimate gestational age, including computing the interval between<br />
the first day <strong>of</strong> the mother’s last normal menstrual period (LMP) and the date <strong>of</strong> birth, or determining a clinical estimate based on<br />
examination <strong>of</strong> the newborn. Standardized methods <strong>of</strong> measurement for determination <strong>of</strong> gestational age are difficult, especially<br />
among at-risk pregnancies in which minimal or no prenatal ascertainments are made. <strong>Louisiana</strong> Birth Certificates record both<br />
the “Date Last Normal Menses Began” and the “Clinical Estimate <strong>of</strong> Gestation.” LMP is subject to error from imperfect maternal<br />
recall or misidentification <strong>of</strong> the last normal menstrual period because <strong>of</strong> post-conception bleeding, delayed ovulation, or<br />
intervening early miscarriage. Therefore, the physician’s clinical estimate <strong>of</strong> gestation is used to determine gestational age in<br />
this report.<br />
GESTATIONAL AGE (Fetal Death data): the interval between the first day <strong>of</strong> the mother’s last normal menstrual period and the<br />
date <strong>of</strong> delivery. Prior to 1995, “Clinical Estimate <strong>of</strong> Gestation” was not recorded on <strong>Louisiana</strong>’s Fetal Death Certificate.<br />
Consequently, gestational ages reported for years prior to 1995 were calculated by subtracting the “Date Last Normal Menses<br />
Began” from the “Date <strong>of</strong> Delivery,” as recorded on the Fetal Death Certificate. Beginning with the 1997 <strong>Louisiana</strong> <strong>Vital</strong><br />
<strong>Statistics</strong> <strong>Report</strong>, gestational ages for fetal deaths occurring in or after 1995 are reported based upon the National Center for<br />
Health <strong>Statistics</strong> formula for calculation <strong>of</strong> gestational age for fetal deaths. This formula calculates gestational age by combining<br />
information collected in the “Date Last Normal Menses Began” and “Clinical Estimate <strong>of</strong> Gestation” sections <strong>of</strong> the Fetal Death<br />
Certificate.<br />
HEBDOMADAL DEATH: a representation <strong>of</strong> deaths occurring to infants under 7 days <strong>of</strong> age. See PERINATAL MORTALITY.<br />
HEBDOMADAL MORTALITY RATE: a measure <strong>of</strong> deaths to infants under 7 days <strong>of</strong> age during a given period. Hebdomadal<br />
mortality rates are calculated by dividing the number <strong>of</strong> deaths to infants under 7 days <strong>of</strong> age occurring in a given population<br />
during one year by the number <strong>of</strong> live births occurring during that year, then multiplying the quotient by 1,000. The rate is<br />
expressed as the number <strong>of</strong> deaths to infants under age 7 days, per 1,000 live births.<br />
ICD-10: the tenth revision <strong>of</strong> the International Statistical Classification <strong>of</strong> Diseases, Injuries, and Causes <strong>of</strong> Death. Please see<br />
the Death Data section <strong>of</strong> these Technical Notes.<br />
INDUCED TERMINATION OF PREGNANCY (INDUCED ABORTION): the purposeful interruption <strong>of</strong> pregnancy with intention<br />
other than to produce a live infant or to remove a dead fetus, in which the intervention does not result in a live birth.<br />
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INFANT MORTALITY: a representation <strong>of</strong> deaths occurring in the first year <strong>of</strong> life. Most infant deaths are preventable. The risk<br />
<strong>of</strong> infant death is increased by giving birth at a very young age (40 years), leaving less than 2 years<br />
between births, or giving birth under conditions <strong>of</strong> poor maternal health or poor nutrition. Chemical toxins such as alcohol,<br />
drugs, and tobacco smoke also increase the risk. Most <strong>of</strong> these factors are associated with low birthweight. A newborn might<br />
be low birthweight because he/she has been compromised by one <strong>of</strong> the factors noted above or simply because he/she was<br />
born too soon (“prematurely”). After the first month <strong>of</strong> life, poor infant nutrition, poor hygiene, and infectious disease all increase<br />
the risk <strong>of</strong> infant mortality.<br />
INFANT MORTALITY RATE: a measure <strong>of</strong> deaths to infants under 1 year <strong>of</strong> age during a given period. Infant mortality rates<br />
are calculated by dividing the number <strong>of</strong> deaths to infants under 1 year <strong>of</strong> age occurring in a given population during one year by<br />
the number <strong>of</strong> live births occurring during that year, then multiplying the quotient by 1,000. The rate is expressed as the number<br />
<strong>of</strong> infant deaths per 1,000 live births.<br />
LATE ABORTION: an abortion that is performed at or after 16 weeks gestation.<br />
LIVE BIRTH: a product <strong>of</strong> conception that shows any sign <strong>of</strong> life after delivery, irrespective <strong>of</strong> the duration <strong>of</strong> pregnancy. Sign <strong>of</strong><br />
life is considered the breathing or showing any other evidence <strong>of</strong> life, such as beating <strong>of</strong> the heart, pulsation <strong>of</strong> the umbilical<br />
cord, or the definite movement <strong>of</strong> voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.<br />
LOW BIRTHWEIGHT: a live birth weighing less than 2,500 grams (approximately 5 pounds 8 ounces). The percentage <strong>of</strong> low<br />
birthweight is the number <strong>of</strong> these births in a population during a given time interval divided by the total number <strong>of</strong> live births<br />
reported in that population during the same time interval. Low birthweight usually results from a shortened gestational period,<br />
which <strong>of</strong>ten is linked to preventable factors such as lack <strong>of</strong> prenatal care, maternal smoking, use <strong>of</strong> alcohol and other drugs, and<br />
pregnancy before the age <strong>of</strong> 18 years. Other risk factors for low birthweight include low socioeconomic level, low maternal<br />
weight gain, low pregnancy weight, first births, female sex, short maternal stature, prior low birthweight births, maternal illness,<br />
fetal infection, and a variety <strong>of</strong> metabolic and genetic disorders. Low birthweight infants are more likely than normal weight<br />
infants to have brain damage, lung and liver disease, subnormal growth, developmental problems, mild learning disorders,<br />
attention disorders, and developmental impairments. See VERY LOW BIRTHWEIGHT.<br />
MALE/FEMALE BIRTH RATIO: a measure <strong>of</strong> the number <strong>of</strong> males born for every thousand females born in a given time period.<br />
For example, a ratio <strong>of</strong> 1.036 means 1,036 males were born for every 1000 females born during a given time period.<br />
MARRIAGE RATE: a measure <strong>of</strong> marriages occurring in a population during a given period. Marriage rates are calculated by<br />
dividing the number <strong>of</strong> marriages occurring in a given population during one year by the estimated population, then multiplying<br />
the quotient by 1,000. The rate is expressed as the number <strong>of</strong> marriages per 1,000 population. The marriage rate would be<br />
more representative <strong>of</strong> resident marriages if it were calculated using the number <strong>of</strong> marriages to residents <strong>of</strong> an area, rather<br />
than the number <strong>of</strong> marriages occurring in an area. Marriage counts by residence <strong>of</strong> bride and groom are difficult to quantify,<br />
however, because couples <strong>of</strong>ten choose to obtain marriage licenses and/or to marry outside <strong>of</strong> their residence areas.<br />
MATERNAL MORTALITY: a representation <strong>of</strong> deaths <strong>of</strong> women due to complications <strong>of</strong> pregnancy and childbirth. Maternal<br />
mortality rates are calculated by dividing the number <strong>of</strong> maternal deaths in a given time period by the number <strong>of</strong> live births in that<br />
same time period, then multiplying the quotient by 100,000. Because maternal deaths occur infrequently, they are expressed as<br />
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deaths per 100,000 live births. Ideally, the rate should be calculated by dividing the number <strong>of</strong> deaths by the number <strong>of</strong> all<br />
pregnancies even those that do not result in a live birth. However, no system exists for gathering accurate and complete<br />
information regarding <strong>of</strong> miscarriages and abortions; as an alternative, the number <strong>of</strong> live births is used as an estimate <strong>of</strong> the<br />
number <strong>of</strong> pregnancies. These deaths may be related to previously existing maternal health problems, or they can occur from<br />
acute conditions arising during pregnancy, labor, delivery, and the period thereafter. Studies indicate that some maternal deaths<br />
caused by violence sustained as a result <strong>of</strong> pregnancy are not coded as pregnancy-related deaths. 2 Misidentification <strong>of</strong> cause<br />
<strong>of</strong> death is thought to result in under-reporting <strong>of</strong> maternal deaths.<br />
MODIFIED KESSNER INDEX: the method used in <strong>Louisiana</strong> to measure adequacy <strong>of</strong> prenatal care. This index defines<br />
prenatal care as adequate if the first prenatal visit occurred in the first trimester <strong>of</strong> pregnancy, and if the total number <strong>of</strong> visits<br />
was appropriate to the gestational age <strong>of</strong> the baby at birth. However, because these measures assess neither the quality nor<br />
the content <strong>of</strong> prenatal care, they must be recognized only as estimates <strong>of</strong> the adequacy <strong>of</strong> prenatal care. For details <strong>of</strong> the<br />
modified Kessner Index, please refer to the Birth Data section <strong>of</strong> these Technical Notes, on page 153.<br />
MORTALITY: a representation <strong>of</strong> the incidence <strong>of</strong> death. In <strong>Louisiana</strong>, as in the nation, most deaths result from a few major<br />
causes, such as heart disease, cancer, and stroke. Many people have the genetic potential to live to age 85 years, and some<br />
have the potential to live well beyond that age. Despite this potential, the average age at death in the United States is between<br />
65 and 79 years. Many <strong>of</strong> the leading causes <strong>of</strong> death for people between the ages <strong>of</strong> 25 and 65 are preventable, wholly or in<br />
part, through changes in lifestyle. Cause-<strong>of</strong>-death data are readily available from death certificates, and this information can be<br />
used to identify areas where behavioral changes may be most effective in increasing length <strong>of</strong> life. Leading causes <strong>of</strong> death<br />
such as heart disease, cancer, unintentional injuries, stroke, and liver disease all have been associated with risk factors related<br />
to lifestyle.<br />
NEONATAL MORTALITY: a representation <strong>of</strong> infant deaths occurring during the first 28 days <strong>of</strong> life. Deaths during this period<br />
are generally due to hereditary factors and factors affecting the mother before and during pregnancy. Three-quarters <strong>of</strong> these<br />
deaths are associated with low birthweight. The distinction between neonatal and postneonatal mortality has been blurred in<br />
recent years, because <strong>of</strong> increased survival <strong>of</strong> premature infants due to advances in neonatology.<br />
NEONATAL MORTALITY RATE: a measure <strong>of</strong> deaths occurring among infants under 28 days <strong>of</strong> age during a given period.<br />
Neonatal mortality rates are calculated by dividing the number <strong>of</strong> deaths occurring to infants under 28 days <strong>of</strong> age in a given<br />
population during one year by the number <strong>of</strong> live births occurring during that year, then multiplying the quotient by 1,000. The<br />
rate is expressed as the number <strong>of</strong> deaths to infants under age 28 days, per 1,000 live births.<br />
PERINATAL MORTALITY: a representation <strong>of</strong> deaths <strong>of</strong> unborn fetuses after 20 weeks <strong>of</strong> gestation (stillbirths) and deaths<br />
within 7 days <strong>of</strong> birth. Perinatal mortality is influenced by conditions that affect the mother before and during pregnancy, and by<br />
health problems (e.g., genetic, chromosomal, infectious and so on) that affect the infant.<br />
PERINATAL MORTALITY RATE: a measure <strong>of</strong> stillbirths (fetal deaths) plus deaths to infants under 7 days <strong>of</strong> age during a<br />
given period. Perinatal mortality rates are calculated by dividing the number <strong>of</strong> fetal deaths plus deaths to infants under 7 days<br />
2<br />
McFarlane J, Campbell JC, Sharps P, Watson K. “Abuse during pregnancy and femicide: urgent implications for women's health”<br />
Obstetrics and Gynecology 100:1 (July 2002); 27-36.<br />
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<strong>2003</strong> LOUISIANA VITAL STATISTICS REPORT TECHNICAL NOTES<br />
<strong>of</strong> age occurring in a given population during one year by the number <strong>of</strong> stillbirths plus live births occurring during that year, then<br />
multiplying the quotient by 1,000. The rate is expressed as the number <strong>of</strong> fetal deaths plus deaths to infants under age 7 days,<br />
per 1,000 stillbirths plus live births.<br />
POSTNEONATAL MORTALITY: a representation <strong>of</strong> deaths occurring to infants aged 28 days through 364 days. Postneonatal<br />
mortality is influenced by environmental factors, such as nutrition, hygiene, and accidents. Advances in neonatology have<br />
blurred the distinction between neonatal and postneonatal mortality, given the improved survival rate <strong>of</strong> premature infants.<br />
POSTNEONATAL MORTALITY RATE: a measure <strong>of</strong> deaths occurring among infants aged 28 days through 364 days during a<br />
given period. Postneonatal mortality rates are calculated by dividing the number <strong>of</strong> deaths occurring to infants aged 28 days<br />
through 364 days in a given population during one year by the number <strong>of</strong> live births occurring during that year, then multiplying<br />
the quotient by 1,000. The rate is expressed as the number <strong>of</strong> deaths to infants aged 28 days through 364 days, per 1,000 live<br />
births.<br />
PRENATAL CARE: health care, counseling, and related services provided during pregnancy to assure the best possible health<br />
for both mother and child. Care should start in the first trimester and continue throughout pregnancy. One major focus <strong>of</strong> such<br />
care is screening/monitoring to identify conditions that might threaten the mother or the child. A second major focus is<br />
counseling and guidance relative to diet, alcohol, tobacco, and other health concerns. Other services, for those who qualify, are<br />
social and financial counseling, WIC, and Medicaid.<br />
PRE-TEEN BIRTH: a birth to a woman younger than 13 years old.<br />
RATE: a measure used to make comparisons among different groups. A rate is the number <strong>of</strong> specific health events in a given<br />
time period divided by the average population during that same period, then multiplied by a number such as 1,000 or 100,000 to<br />
facilitate comparison between different populations. Multiplying by 100 results in a percentage <strong>of</strong> events per time period, which<br />
is an expression <strong>of</strong> the number <strong>of</strong> people out <strong>of</strong> 100 who experienced the event during the period. Most rates, however, are<br />
given as the number out <strong>of</strong> 1,000 or 100,000, because when rates are based on very small numbers, it is easier to understand<br />
the numbers and to compare the rates this way. Rates can be used to measure changes in the occurrence <strong>of</strong> health events<br />
between different time periods and geographical areas etc.<br />
RESIDENCE: defined as that <strong>of</strong> the deceased for a death and as that <strong>of</strong> the mother for a birth or stillbirth. Births and deaths<br />
occurring in institutions in <strong>Louisiana</strong> are reallocated to the place <strong>of</strong> previous residence, regardless <strong>of</strong> length <strong>of</strong> stay in the<br />
institution. All tables in this publication refer to resident events except as noted.<br />
RACE: the category that is shown on the certificate. Tables that include race classification are tabulated by white, black, and<br />
other, where other includes all races not white or black. Beginning in 1989, birth data are presented by race <strong>of</strong> mother rather<br />
than inferred race <strong>of</strong> child.<br />
SPONTANEOUS FETAL DEATH: a fetal death that is not an induced termination <strong>of</strong> pregnancy. Spontaneous fetal deaths <strong>of</strong><br />
20 weeks or more duration <strong>of</strong> pregnancy, or with a weight <strong>of</strong> 350 grams or more, must be reported on a Fetal Death (Stillbirth)<br />
certificate. For details <strong>of</strong> the <strong>Louisiana</strong> and National Center for Health <strong>Statistics</strong> definitions <strong>of</strong> fetal death, please refer to the<br />
Spontaneous Fetal Death Data section <strong>of</strong> these Technical Notes, on page 157.<br />
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TEEN BIRTH: a birth to a woman aged 13 to 19 years. See PRE-TEEN BIRTH.<br />
UNDERLYING CAUSE OF DEATH: the disease or injury that initiated the sequence <strong>of</strong> events leading to death. Please see the<br />
Death Data section <strong>of</strong> these Technical Notes, on page 160.<br />
VERY LOW BIRTHWEIGHT: a live birth weighing less than 1,500 grams (approximately 3 pounds 5 ounces). The percent very<br />
low birthweight is the number <strong>of</strong> these births in a population during a given time interval, divided by the total number <strong>of</strong> live births<br />
with known birthweight reported in that population during the same time interval. Very low birthweight infants are at greater risk<br />
<strong>of</strong> mortality and long-term disability than higher weight infants. See LOW BIRTHWEIGHT.<br />
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CALCULATION OF RATES AND RATIOS*<br />
number <strong>of</strong> live births<br />
BIRTH RATE = -------------------------------- X 1,000<br />
estimated population<br />
number <strong>of</strong> live births<br />
FERTILITY RATE = ----------------------------------------- X 1,000<br />
estimated female population<br />
15 - 44 years old<br />
number <strong>of</strong> live births to<br />
AGE-SPECIFIC women in specific age group<br />
FERTILITY RATE = ------------------------------------------ X 1,000<br />
estimated female population<br />
in that specific age group<br />
TOTAL FERTILITY RATE** = sum <strong>of</strong> the age specific fertility rates (in 5-year age groups) multiplied by 5<br />
number <strong>of</strong> reportable fetal deaths 1,000<br />
FETAL DEATH RATES = --------------------------------------------- X (or 100,000,<br />
number <strong>of</strong> live births + fetal deaths as specified)<br />
number <strong>of</strong> deaths 1,000<br />
DEATH RATE = ------------------------------- X (or 100,000,<br />
estimated population as specified)<br />
number <strong>of</strong> deaths in<br />
AGE-SPECIFIC specific age group 1,000<br />
DEATH RATE = ---------------------------------- X (or 100,000,<br />
estimated population as specified)<br />
in that specific age group<br />
*All rates and ratios in this report are per calendar year.<br />
**If divided by 1,000, the total fertility rate approximates the completed family size per woman. This assumes that throughout<br />
their reproductive period, women will experience the same age specific birthrates observed in the childbearing population in the<br />
current year.<br />
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total number <strong>of</strong> expected deaths in a<br />
standard population (if the persons<br />
in this population had experienced the<br />
same age specific death rates as<br />
AGE-ADJUSTED population being adjusted) 1,000<br />
DEATH RATE= ------------------------------------------------ X (or 100,000,<br />
(Direct Method) total standard population as specified)<br />
number <strong>of</strong> deaths<br />
INFANT under 1 year <strong>of</strong> age 1,000<br />
MORTALITY RATE= ------------------------------------- X (or 100,000,<br />
total number <strong>of</strong> live births as specified)<br />
number <strong>of</strong> deaths<br />
HEBDOMADAL under 7 days <strong>of</strong> age<br />
MORTALITY RATE= ---------------------------------- X 1,000<br />
total number <strong>of</strong> live births<br />
number <strong>of</strong> deaths<br />
NEONATAL under 28 days old<br />
MORTALITY RATE= ---------------------------------- X 1,000<br />
total number <strong>of</strong> live births<br />
PERINATAL fetal deaths + deaths under 7 days old<br />
MORTALITY RATE= ---------------------------------------------------- X 1,000<br />
total number <strong>of</strong> live births + fetal deaths<br />
number <strong>of</strong> deaths due to Complications <strong>of</strong><br />
MATERNAL Pregnancy, Childbirth, and Puerperium<br />
MORTALITY RATE***= ----------------------------------------------------- X 100,000<br />
total number <strong>of</strong> live births<br />
***In reports prior to 1972 the Maternal Death rate was expressed "per 10,000 live births".<br />
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CERTIFICATE<br />
FACSIMILES<br />
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AVAILABILITY OF ADDITIONAL INFORMATION<br />
The statistical information published in this report is limited to that which is considered to be<br />
most commonly used, based on national reporting guidelines and on requests for information<br />
received by the <strong>Vital</strong> Records Registry and the State Center for Health <strong>Statistics</strong>.<br />
Request for additional data may be addressed to:<br />
STATE CENTER FOR HEALTH STATISTICS<br />
P.O. BOX 60630<br />
NEW ORLEANS, LA 70160<br />
Phone: (504) 219-4515<br />
FAX: (504) 838-5206<br />
E-mail address: schsweb@dhh.la.gov<br />
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printed in accordance with standards for printing by State Agencies established pursuant to R.S.43:31.